NPI | 1407115546 |
---|---|
Entity Type | Organization |
Authorized Contact | DELSA DAGALEA Clinic Administrator 702-822-5814 |
Organization Subpart ? | No |
Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: NV TRN302247) |
Additional Taxonomies | 2279P1005X Respiratory Therapist, Registered, Pulmonary Rehabilitation (Licence: NV RC651) |
Enumeration Date | 2012-05-10 |
Last Update Date | 2014-04-24 |