Organization
FORWARD IMPRESSIONS, LLC
Active
Organization
FORWARD IMPRESSIONS, LLC
Active
Parent organization
FORWARD IMPRESSIONS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FORWARD IMPRESSIONS, LLC
Authorized official
MRS. CHARLENE A DAVIS (AUTHORIZED OFFICIAL)
(702) 469-1597
Entity
Organization
Contact information
Practice address
3650 N RANCHO DR STE 109, LAS VEGAS, NV 89130-3151
(702) 848-1411
(702) 848-1711
Mailing address
3650 N RANCHO DR STE 109, LAS VEGAS, NV 89130-3151
(702) 848-1411
(702) 848-1711
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/20/2020
Last updated
03/10/2020
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