NPI | 1174503429 |
---|---|
Doing Business As | PRO BONO HUMANI LLC |
Entity Type | Organization |
Authorized Contact | DAVID RIVAS Cmo 702-526-5078 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 0926) |
Additional Taxonomies | 208D00000X General Practice (Licence: NV 0926) |
Enumeration Date | 2006-01-20 |
Last Update Date | 2008-04-22 |