Organization
MAI HEALTH AND BEAUTY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE THI MAI N.P. (MANAGING MEMBER)
(702) 480-2044
Entity
Organization
Contact information
Practice address
6771 W CHARLESTON BLVD, STE. B, LAS VEGAS, NV 89146-9015
(702) 480-2044
Mailing address
6771 W CHARLESTON BLVD, STE. B, LAS VEGAS, NV 89146-9015
(702) 480-2044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NV
208D00000X
General Practice Physician
Primary
—
NV
261QM1300X
Multi-Specialty Clinic/Center
—
NV
363LA2200X
Adult Health Nurse Practitioner
—
NV
363LF0000X
Family Nurse Practitioner
—
NV
363LP0200X
Pediatric Nurse Practitioner
—
NV
Other
Enumeration date
03/13/2016
Last updated
03/13/2016
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