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Organization
LAS VEGAS FUNCTIONAL HEALTH AND WELLNESS
Active
Organization
LAS VEGAS FUNCTIONAL HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELLA BERRY APRN (PRESIDENT)
(818) 795-7597
Entity
Organization
Contact information
Practice address
2580 N RANCHO DR STE 103, LAS VEGAS, NV 89130-3361
(818) 795-7597
Mailing address
2580 N RANCHO DR STE 103, LAS VEGAS, NV 89130-3361
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/19/2025
Last updated
04/19/2025
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