| NPI | 1912422957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIE PARCO Managing Member 775-690-4584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2017-08-18 |