| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1629465455 | BAILEY | MAURICE | 1058 W OWENS AVE | LAS VEGAS | NV | 891062507 | ||
| 1437545886 | BROWN | KATIA | 1058 W OWENS AVE | LAS VEGAS | NV | 891062507 | ||
| 1730569146 | FIELDS | LOGAN | 1058 W. OWENS AVE | LAS VEGAS | NV | 89106 | ||
| 1205226644 | GUIZAR | MARTHA | A | 1058 W. OWENS AVE | LAS VEGAS | NV | 89106 | |
| 1003291758 | THOMAS | JENNIFER | 1058 W OWENS AVE | LAS VEGAS | NV | 891062507 | ||
| 1386033439 | WOOLFORD | ELDA | 1058 W OWENS AVE | LAS VEGAS | NV | 89106 |