Organization
OMINIKE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YADIRA HERNANDEZ LEON (MANAGER)
(702) 624-6292
Entity
Organization
Contact information
Practice address
9222 SNOW FLOWER AVE, LAS VEGAS, NV 89147-6843
(702) 624-6292
Mailing address
9222 SNOW FLOWER AVE, LAS VEGAS, NV 89147-6843
(702) 624-6292
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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