| NPI | 1710762349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL KAPSAR Member 702-586-5060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 171100000X Acupuncturist |
| 225700000X Massage Therapist | |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2023-08-30 |