| NPI | 1689242190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RILWAN OLALEKAN SHOYOMBO President/Provider 702-846-5978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2021-06-12 |
| Last Update Date | 2021-07-24 |