| NPI | 1245860576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AQUANATTE MONIQUE JACKSON CEO 702-787-4134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2020-01-26 |
| Last Update Date | 2023-01-26 |