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Organization
WESTTEAM CORP
Active
Organization
WESTTEAM CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOELVIS GAMBOA CEO (PRESIDENT)
(702) 628-4649
Entity
Organization
Contact information
Practice address
3430 E FLAMINGO RD, SUITE 302, LAS VEGAS, NV 89121-5003
(702) 628-4649
Mailing address
3430 E FLAMINGO RD, SUITE 302, LAS VEGAS, NV 89121-5003
(702) 628-4649
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
V101990
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WESTALL14
ALL INSURANCES
NV
Enumeration date
06/13/2014
Last updated
06/13/2014
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