| NPI | 1073006706 |
|---|---|
| Doing Business As | WICKER BASKET |
| Entity Type | Organization |
| Authorized Contact | LOURDES MANGUINO Ownwe 702-445-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2020-10-15 |