| NPI | 1558397059 |
|---|---|
| Doing Business As | FAMILY WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | CASIANO R FLAVIANO President 702-837-4397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NV 9976) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2020-03-09 |