NPI | 1609547686 |
---|---|
Entity Type | Organization |
Authorized Contact | ADAHLIA ALCOVA General Manager 702-964-4779 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
Enumeration Date | 2021-09-21 |
Last Update Date | 2021-09-21 |