| NPI | 1912765736 |
|---|---|
| Doing Business As | ROSENBERG INITIATIVE CLINIC ON WHEELS |
| Entity Type | Organization |
| Authorized Contact | BRANDON S LINE Chief Operations Officer 702-232-0833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-03-16 |