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Organization
PHENIX CARE LLC
Active
Organization
PHENIX CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIEZER LEON CUELLAR (MANAGER)
(702) 515-9926
Entity
Organization
Contact information
Practice address
9222 SNOW FLOWER AVE, LAS VEGAS, NV 89147-6843
(702) 624-6292
Mailing address
9222 SNOW FLOWER AVE, LAS VEGAS, NV 89147-6843
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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