| NPI | 1285175950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLLENE STILES-BRADSHER Secretary/Owner 702-318-7544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NV NV20161529992) |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2018-08-07 |