Organization
DESERTBLOOM MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASYA HOVHANNISYAN (OWNER)
(725) 256-8020
Entity
Organization
Contact information
Practice address
931 S 3RD ST, LAS VEGAS, NV 89101-6801
(725) 256-8020
Mailing address
931 S 3RD ST, LAS VEGAS, NV 89101-6801
(725) 256-8020
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
10/22/2024
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