| NPI | 1174385660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL GONZALESS LACHICA Owner/Nurse Practitioner 702-985-7075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-01-29 |