| NPI | 1952539751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMONG YOUMANS Owner 702-565-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NV 1006266151) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2009-06-30 |