| NPI | 1346464864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER RAROQUE Managing Member 702-303-2190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 11178) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2019-03-07 |