| NPI | 1194904839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN SOSA RIVERA Secretary 702-580-1652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: MN 413784) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-10-30 |