Organization
HEALTH AND WELLNESS OF NEVADA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKAUWRA SANDOVAL (PROGRAM DIRECTOR)
(702) 683-9050
Entity
Organization
Contact information
Practice address
4760 S PECOS RD # 100-001, LAS VEGAS, NV 89121-6038
(702) 683-9050
Mailing address
4760 S PECOS RD # 100-001, LAS VEGAS, NV 89121-6038
(702) 683-9050
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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