NPI | 1801657788 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM V QUIBA Managing Member 702-576-6102 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
363L00000X Nurse Practitioner | |
Enumeration Date | 2024-01-18 |
Last Update Date | 2024-01-18 |