Organization
AN OASIS WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY SMALLWOOD-HORNIACEK MMT, LMT,HP (OWNER)
(702) 672-2787
Entity
Organization
Contact information
Practice address
9636 BENDING RIVER AVE, LAS VEGAS, NV 89129-6939
(702) 672-2787
(702) 462-5816
Mailing address
9636 BENDING RIVER AVE, LAS VEGAS, NV 89129-6939
(702) 672-2787
(702) 462-5816
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4686
NV
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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