| NPI | 1336515345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IAN GUILLERMO AMARANTO Administrator / Woner 702-855-3382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NV NV20151467742) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2015-08-13 |