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Organization

ULIVVO INC.

Active
Other names
ULIVVO Medical Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
JEREMY CRAWFORD (OWNER/CEO)
(480) 809-8663
Entity
Organization

Contact information

Practice address
5071 N RAINBOW BLVD, UNIT 160, LAS VEGAS, NV 89130
(480) 809-8663
Mailing address
141 E PALM LANE, SUITE 205, PHOENIX, AZ 85004
(480) 809-8663

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
06/11/2020
Last updated
06/15/2020
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