| NPI | 1376367037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA NINA D MAPA Owner 702-900-3683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 251J00000X Nursing Care |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2024-11-11 |