Organization
MAGENS BAY CONSULTING L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE WADE (DIRECTOR)
(702) 751-2408
Entity
Organization
Contact information
Practice address
2620 REGATTA DR STE 102, LAS VEGAS, NV 89128-6892
(702) 751-2408
Mailing address
2620 REGATTA DR STE 102, LAS VEGAS, NV 89128-6892
(702) 751-2408
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487247391
—
NV
Enumeration date
02/11/2021
Last updated
03/02/2021
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