NPI | 1740548437 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE DENISE BROWN Owner 702-301-4950 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NV NV20121134253) |
Enumeration Date | 2012-05-01 |
Last Update Date | 2012-05-01 |