| 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 |