| NPI | 1164599478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRACLE WANGSUWANA Partner 775-883-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NV 1253) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |