| NPI | 1316033947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SALVATORE FESTENESE Manager 702-360-5194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NV 1002760224) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |