NPI | 1750784583 |
---|---|
Doing Business As | SOLUNA FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | EDWARD S VICTORIA Owner 702-463-3008 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 12452) |
Enumeration Date | 2014-10-07 |
Last Update Date | 2020-08-12 |