| NPI | 1669198156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENA LAI NGUYEN Medical Director 702-591-1688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 163WW0000X Registered Nurse Wound Care |
| 261QI0500X Clinic/Center Infusion Therapy | |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2022-10-20 |