| NPI | 1073813945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELENA RENEE JIMENEZ Office Manager, Treasurer,Secretary 702-367-0323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NV 8183) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2021-06-09 |