NPI | 1093582512 |
---|---|
Doing Business As | GARNET MEDICAL CLINIC |
Doing Business As | GARNET MEDICAL CLINIC LLC |
Other Name | GARNET MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | DELSA A DAGALEA Provider 702-275-4487 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2023-12-05 |
Last Update Date | 2024-04-23 |