Organization
2D CHANGE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROOSEVELT DAYMON (PRESIDENT)
(702) 588-3425
Entity
Organization
Contact information
Practice address
2725 S. JONES BLVD. SUITE 101, LAS VEGAS, NV 89146
(702) 829-6429
(702) 208-2090
Mailing address
PO BOX 9602, NELLIS AFB, NV 89191
(702) 588-3425
(702) 208-2090
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NV20071459752
STATE BUSINESS LICENSE NUMBER
NV
Enumeration date
11/20/2020
Last updated
04/27/2021
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