Organization
INTUITIVE THERAPIES LLC
Active
Other names
Intuitive Therapies LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TONIIKA DIONE WAKEFIELD LMT, NCBTMB (MANAGER)
(702) 807-4426
Entity
Organization
Contact information
Practice address
801 S. RANCHO DR. A3, LAS VEGAS, NV 89106
(702) 807-4426
Mailing address
101 CONVENTION CENTER DR. SUITE #100, LAS VEGAS, NV 89109
(702) 807-4426
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
NVMT 5017
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NVMT 5017
TONIIKA WAKEFIELD
NV
Enumeration date
12/30/2014
Last updated
12/30/2014
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