| NPI | 1780049858 |
|---|---|
| Doing Business As | MAMA MIA FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | GABRIEL P CARPO Owner 702-596-2293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-16 |