| NPI | 1659165405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAMERI MONASTERIOS AMPARAN Manager 702-418-9965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-04-28 |