| NPI | 1578943619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELITA MARTINEZ President 702-324-9373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 700891) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2015-06-03 |