| NPI | 1790558377 |
|---|---|
| Doing Business As | A CLINIC NEAR ME EASTERN |
| Entity Type | Organization |
| Authorized Contact | MARY CHARMAINE ESTRELLA CAMPANA Manager 702-978-1648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2023-11-06 |