| NPI | 1770640666 |
|---|---|
| Doing Business As | RED MOON DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | CYRIL AKOKOTU OVUWORIE Medical Director 702-383-9741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: NV 4010ESR-0) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2021-03-24 |