| NPI | 1760047377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO CRUZADA POBLETE CEO 702-883-1817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-05-08 |