| NPI | 1407656374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REYNANTE VILLAHERMOSA Owner 702-885-6457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QA3000X Clinic/Center, Augmentative Communication |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2025-03-18 |
| Last Update Date | 2025-03-18 |