| NPI | 1932497229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAVIS N MATSUMOTO Owner 702-992-4050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NV 7825) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2012-04-13 |