NPI | 1356131593 |
---|---|
Entity Type | Organization |
Authorized Contact | EVANGELINE DE GUZMAN-DELALUZ Practice Owner 702-983-6674 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2025-05-09 |
Last Update Date | 2025-05-09 |