| NPI | 1639990344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA QUIJANO PANGAN Nurse Practitioner 702-526-6763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2024-10-24 |
| Last Update Date | 2024-10-24 |