| NPI | 1043424443 |
|---|---|
| Doing Business As | RICARDO FONTILLAS MD |
| Entity Type | Organization |
| Authorized Contact | RICO FONTILLAS Owner 702-454-0201 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NV 6501) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2007-11-30 |