| NPI | 1952170763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YACQUELINE GONZALEZ VILLAFRANCA Owner 702-463-7779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician Attendant Care Provider |
| Enumeration Date | 2023-12-21 |
| Last Update Date | 2023-12-21 |