| NPI | 1962791897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE DURAN Manager 702-501-6072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NV 6057ADC-0) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2011-03-31 |