| NPI | 1225634157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDEN DABALUS Fnp C/ CEO 702-891-0026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty |
| Additional Taxonomies | 251E00000X Home Health |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2021-04-13 |