Organization
GENERATIONS MED CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIE INGUANZO (CHIEF EXECUTIVE OFFICER)
(702) 476-2899
Entity
Organization
Contact information
Practice address
8225 W SAHARA AVE STE C, LAS VEGAS, NV 89117-8929
(725) 251-6390
(725) 251-6712
Mailing address
8225 W SAHARA AVE STE C, LAS VEGAS, NV 89117-8929
(702) 476-2899
(702) 476-1575
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
09/30/2016
Last updated
08/14/2024
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