| NPI | 1639760960 |
|---|---|
| Doing Business As | LAS VEGAS FOOTCARE |
| Entity Type | Organization |
| Authorized Contact | PARDIS A. KELLY President 650-303-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2021-01-29 |