Organization
HIGH ENTERPRISES
Active
Other names
Abundant Life
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IDA PEARL CONNORS H.C. (PROVIDER)
(702) 254-8721
Entity
Organization
Contact information
Practice address
8640 CASTLE HILL AVE, LAS VEGAS, NV 89129-7645
(702) 254-8721
(702) 254-8726
Mailing address
8640 CASTLE HILL AVE, LAS VEGAS, NV 89129-7645
(702) 254-8721
(702) 254-8726
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
363A00000X
Physician Assistant
506
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356339626
NPI
—
01
—
1538553599
NPI
—
Enumeration date
07/08/2015
Last updated
07/08/2015
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