| NPI | 1235881939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA MARIANO HENRY COO 702-929-4796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2022-01-24 |