NPI | 1902568132 |
---|---|
Entity Type | Organization |
Authorized Contact | YISEL VIAMONTES-MARRERO President 702-444-7524 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2021-10-05 |
Last Update Date | 2021-10-05 |