| NPI | 1477559169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHINASA O EGEMONU President 702-407-8647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: NV 0304250402) |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2008-06-13 |