| NPI | 1992073886 |
|---|---|
| Doing Business As | PROVIDERS HEALTH NETWORK |
| Entity Type | Organization |
| Authorized Contact | RAFAEL MIRCHOU Managing Member 702-399-2345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NV NV20101815113) |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2011-12-06 |