NPI | 1497897128 |
---|---|
Entity Type | Organization |
Authorized Contact | EMMANUEL I OKECHUKWU President 702-210-2763 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2007-02-12 |
Last Update Date | 2020-05-15 |