Organization
TH FIRST WELL TEAM CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAIRELIS RODRIGUES MILANES ARNP (CEO)
(725) 203-9358
Entity
Organization
Contact information
Practice address
3365 W CRAIG RD STE 19, NORTH LAS VEGAS, NV 89032-5127
(725) 203-9358
Mailing address
3365 W CRAIG RD STE 19, NORTH LAS VEGAS, NV 89032-5127
(725) 203-9358
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NV13506
COMMERCIAL INS
NV
Enumeration date
03/01/2021
Last updated
03/01/2021
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