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Organization

FAMILY HEALTH CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REYNANTE VILLAHERMOSA (OWNER)
(702) 885-6457
Entity
Organization

Contact information

Practice address
6330 W FLAMINGO RD UNIT 106, LAS VEGAS, NV 89103-2234
(702) 918-2800
(702) 947-5352
Mailing address
6330 W FLAMINGO RD UNIT 106, LAS VEGAS, NV 89103-2234
(702) 918-2800
(702) 947-5352

Taxonomy

Speciality
Code
Description
License number
State
261QA3000X
Augmentative Communication Clinic/Center
261QM0850X
Adult Mental Health Clinic/Center
261QM1300X
Multi-Specialty Clinic/Center
Primary
261QM2500X
Medical Specialty Clinic/Center
261QP2300X
Primary Care Clinic/Center
363LP2300X
Primary Care Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
250023170
NV
Enumeration date
03/18/2025
Last updated
03/18/2025
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