Organization
NEVADA MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA MARIANO HENRY (COO)
(702) 929-4796
Entity
Organization
Contact information
Practice address
3430 E FLAMINGO RD STE 106, LAS VEGAS, NV 89121-5003
(702) 929-4796
Mailing address
3430 E FLAMINGO RD STE 106, LAS VEGAS, NV 89121-5003
(702) 929-4796
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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