Organization
EVERGROWTH CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIE SO DC (OWNER)
(702) 389-5009
Entity
Organization
Contact information
Practice address
1263 E SILVERADO RANCH BLVD STE 105A, LAS VEGAS, NV 89183-5946
(702) 389-5009
Mailing address
1263 E SILVERADO RANCH BLVD STE 105A, LAS VEGAS, NV 89183-5946
(702) 389-5009
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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