Organization
WELL CARE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENIFFER MARINO GONZALEZ (OWNER)
(702) 724-4876
Entity
Organization
Contact information
Practice address
3230 E CHARLESTON BLVD STE 111, LAS VEGAS, NV 89104-6627
(702) 724-4876
Mailing address
3230 E CHARLESTON BLVD STE 111, LAS VEGAS, NV 89104-6627
(702) 724-4876
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/28/2025
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