| NPI | 1770285751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIAGNE ARIELLE DUAVE President 702-969-8785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2023-03-21 |