Provider First Line Business Practice Location Address:
4771 W CRAIG RD
Provider Second Line Business Practice Location Address:
TAKE CARE HEALTH SYSTEMS
Provider Business Practice Location Address City Name:
NORTH LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89030
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-250-8641
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/08/2006