| NPI | 1447991138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLONDA SUE JOHNSON ' LEFEVRE Administrator 702-808-5476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-04-05 |