| NPI | 1326884800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE L GUTIERREZ Manager 702-300-6014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation |
| Additional Taxonomies | 171400000X |
| Enumeration Date | 2024-07-03 |
| Last Update Date | 2024-07-03 |