| NPI | 1942932769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHON ZAVALA Medical Director 775-848-3052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| 261QI0500X Clinic/Center Infusion Therapy | |
| 305R00000X Preferred Provider Organization | |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2022-06-29 |