| NPI | 1932693447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES MCCRARY Owner 702-629-7577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: NV 2004752-062-101) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2019-12-19 |