Organization
AZANA THERAPEUTIC RECONDITION INC,
Active
Organization
AZANA THERAPEUTIC RECONDITION INC,
Active
Other names
Azana Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE L GUTIERREZ N.D. (MANAGER)
(702) 300-6014
Entity
Organization
Contact information
Practice address
101 S RAINBOW BLVD STE 22101S, LAS VEGAS, NV 89145-5362
(702) 300-6014
(702) 906-2361
Mailing address
8421 GRANITE PEAK CT STE 22, LAS VEGAS, NV 89145-5430
(702) 300-6014
(702) 906-2361
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
—
171400000X
Health & Wellness Coach
—
—
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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