| NPI | 1891517389 |
|---|---|
| Other Name | REGENAHEAL WOUND SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | PATRICK FREE Owner/Provider 702-326-7818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2024-10-28 |