| NPI | 1508243395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER TENBY Office Manager 702-396-6277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NV APRN001899) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-04-30 |