| NPI | 1659058725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALDENE MONICA RALLECA LLAGUNO Family Practitioner 775-240-4628 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-06-30 |