Organization
FGKG LLC
Active
Other names
Brace Yourself
Organization subpart
No
Provider details
NPI number
Authorized official
ZACH TYSON NELSON (OWNER)
(702) 395-3355
Entity
Organization
Contact information
Practice address
1620 RAIDERS WAY STE 140, HENDERSON, NV 89052-4631
(702) 395-3555
(877) 588-8501
Mailing address
1620 RAIDERS WAY STE 140, HENDERSON, NV 89052-4631
(702) 395-3555
(877) 588-8501
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
928474785
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100510021
—
NV
Enumeration date
07/12/2005
Last updated
11/30/2023
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