Provider First Line Business Practice Location Address:
MONTEVISTA HOSPITAL
Provider Second Line Business Practice Location Address:
5900 W ROCHELLE AVE
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-477-8046
Provider Business Practice Location Address Fax Number:
702-873-2710
Provider Enumeration Date:
11/30/2006