NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1831347731 |   |   |   | CANYON GATE MEDICAL GROUP, LLC | 2929 N UNIVERSITY DR | CORAL SPRINGS | FL | 330655081 |
1265695134 | BAMBHA | MONA |   |   | PO BOX 98978 | LAS VEGAS | NV | 891938978 |
1275538126 | FLORA | NICOLE | R. |   | PO BOX 98978 | LAS VEGAS | NV | 891938978 |
1861470890 | TAN-TORRES | ANGELITA |   |   | PO BOX 98978 | LAS VEGAS | NV | 891938978 |