NPI | 1356528103 |
---|---|
Doing Business As | JATEKO FAMILY MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | JEANIENE A TALLEY President 702-474-4110 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 10389) |
Enumeration Date | 2008-01-23 |
Last Update Date | 2021-08-02 |