| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1619049897 | BETITA | MARY | JANETTE | 1800 W. CHARLESTON BLVD. STE. 508 | LAS VEGAS | NV | 89102 | |
| 1235611526 | GARVIN | NONA CECILIA | JABINES | 1800 W. CHARLESTON BLVD. STE. 508 | LAS VEGAS | NV | 89102 | |
| 1003968702 | LIPPMANN | FREDERICK | J | 1800 W CHARLESTON BLVD STE 508 | LAS VEGAS | NV | 89102 | |
| 1003874413 | RUBIO | ERNESTO | 1800 W. CHARLESTON BLVD. STE. 508 | LAS VEGAS | NV | 89102 | ||
| 1811950389 | WICHMAN | DAVID | RAY | 1800 W CHARLESTON BLVD STE 508 | LAS VEGAS | NV | 89102 |