| NPI | 1366586463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INEKE GLAVOR Pa C 775-770-3780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: NV NV 305) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |