Organization
P SAINT ROC LLC
Active
Organization
P SAINT ROC LLC
Active
Other names
P SAINT ROC WELLNESS CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
IKECHUKWUKA PETER ONWUKA-SMARTY (MANAGER)
(702) 465-6794
Entity
Organization
Contact information
Practice address
1700 ALTA DR APT 2124, LAS VEGAS, NV 89106-4174
(702) 465-6794
Mailing address
1700 ALTA DR APT 2124, LAS VEGAS, NV 89106-4174
(702) 465-6794
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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