NPI: 1497432793 · LAS VEGAS, NV 89119 · Clinic/Center · NPI assigned 06/29/2023
| Authorized Official | MONTECILLO, THERESA (OWNER) |
| NPI Enumeration Date | 06/29/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 35 | $770.28 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 98960 | 35 | 13 | $770.28 |