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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