| NPI | 1407227515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN PINKNEY Director 702-506-8918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NV 8100pcs-0) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2015-10-14 |