| 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 |