| 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 |