Organization
RAELIN BRIGHT WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE SANDERS NP (OWNER)
(725) 234-2215
Entity
Organization
Contact information
Practice address
2850 W HORIZON RIDGE PKWY STE 200, HENDERSON, NV 89052-4395
(725) 234-2215
Mailing address
24609 UNIVERSITY AVE APT B, LOMA LINDA, CA 92354-2784
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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