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 |