| NPI | 1982434049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE L ARAGON Owner/Authorized Official 702-901-9451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2024-08-05 |