Organization
HEALTHLINE ESSENTIALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN COLLIS VALDEZ LACY APRN (PRACTIONER-OWNER)
(210) 459-6514
Entity
Organization
Contact information
Practice address
8905 EVENING STAR DR, LAS VEGAS, NV 89134-8806
(210) 459-6514
(702) 453-7005
Mailing address
8905 EVENING STAR DR, LAS VEGAS, NV 89134-8806
(210) 459-6514
(702) 453-7005
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN002311
NV
Other
Enumeration date
09/11/2017
Last updated
07/21/2022
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