| NPI | 1609576743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSMEL VILLARREAL President Director Of Operations 702-000-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2024-11-29 |