Organization
KIM BORSELLI DC LTD
Active
Other names
dba Desert Back & Neck Care
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY L WONG DC (OWNER)
(702) 871-5556
Entity
Organization
Contact information
Practice address
3300 S DECATUR BLVD, #5, LAS VEGAS, NV 89102
(702) 871-5556
(702) 871-5594
Mailing address
3300 S DECATUR BLVD, #5, LAS VEGAS, NV 89102
(702) 871-5556
(702) 871-5594
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
19363
CA
111N00000X
Chiropractor
21933
CA
111N00000X
Chiropractor
Primary
B00492
NV
111N00000X
Chiropractor
B00691
NV
Other
Enumeration date
11/16/2006
Last updated
08/22/2020
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