| NPI | 1285402164 |
|---|---|
| Doing Business As | VITAL WOUND CARE |
| Entity Type | Organization |
| Authorized Contact | KHADIJA BILALI AZZAT Managing Member 702-889-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2024-01-16 |