NPI | 1518267301 |
---|---|
Entity Type | Organization |
Authorized Contact | YOLANDA ROMO Admin Assist 775-283-3096 |
Organization Subpart ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NV 4143) |
Enumeration Date | 2010-10-26 |
Last Update Date | 2010-10-26 |