| NPI | 1609106814 |
|---|---|
| Doing Business As | ADVANCED HEALTH & AGE REJUVENATION CENTER |
| Entity Type | Organization |
| Authorized Contact | STEPHEN C CASTORINO President 702-368-2244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2010-01-11 |
| Last Update Date | 2010-12-08 |