Organization
LOVE YOUR BODY MEDICAL SPA
Active
Other names
NONE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIVINA A OBENA MD (PHYSICIAN)
(702) 649-5683
Entity
Organization
Contact information
Practice address
5693 S JONES BLVD, STE 108, LAS VEGAS, NV 89118-1965
(702) 649-5683
(702) 222-3683
Mailing address
5693 S JONES BLVD, STE 108, LAS VEGAS, NV 89118-1965
(702) 649-5683
(702) 222-3683
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7308
NV
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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