Organization
HOLLYWOOD WELLNESS ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW J EMMONS D.C. (CEO)
(602) 881-5430
Entity
Organization
Contact information
Practice address
5568 S FORT APACHE RD, LAS VEGAS, NV 89148-3602
(623) 399-8606
(623) 399-9958
Mailing address
5568 S FORT APACHE RD, LAS VEGAS, NV 89148-3602
(623) 399-8606
(623) 399-9958
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
B01408
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B01408
LICENSE #
NV
Enumeration date
07/26/2011
Last updated
07/26/2011
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