| NPI | 1902268501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSA GONZALEZ Credentialing 702-540-3499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NV 4017) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-06-17 |