| NPI | 1518343078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA BISTEL Admin/Owner 702-232-2389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NV 20151445938) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-07 |