Organization
HCPN AT CITY IMPACT WELLNESS CLINIC LLC
Active
Organization
HCPN AT CITY IMPACT WELLNESS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE VIRAY (OWNER)
(702) 871-9917
Entity
Organization
Contact information
Practice address
968 E SAHARA AVE STE C, LAS VEGAS, NV 89104-3022
(702) 871-9917
Mailing address
4850 W FLAMINGO RD STE 25, LAS VEGAS, NV 89103-3707
(702) 871-9917
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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