| NPI | 1043053390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRYL CUADERNO TAKAHASHI Billing Manager 702-233-6196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2024-07-09 |