| NPI | 1205182292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA LOURDES YUVIENCO PECHO President 702-985-2533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NV NV20121441185) |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2012-07-27 |