| NPI | 1619576964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YADISNAY GARCIA-GUADALUPE Owner 702-742-5496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2021-06-02 |