| NPI | 1841928397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE BRUCE Owner 702-743-1771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2022-08-11 |