| NPI | 1124357967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANA K ERICSSON Owner/Physician 702-557-3221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 11476) |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2009-12-07 |