Organization
CONCIERGE WOUND CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HERNANDEZ (BILLING MANAGER)
(980) 989-9487
Entity
Organization
Contact information
Practice address
8820 HICKAM AVE, LAS VEGAS, NV 89129-3625
(702) 438-2229
Mailing address
8820 HICKAM AVE, LAS VEGAS, NV 89129-3625
(702) 438-2229
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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