| NPI | 1417755539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMAURY RODRIGUEZ-DOMINGUEZ Owner 702-302-3570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2025-03-04 |