Organization
FACIAL EXPRESSIONS PRESENTED BY K. THOMAS
Active
Other names
Facial Expressions MedSpa & Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
KENISHA THOMAS NURSE PRACTITIONER (NP/ BUSINESS OWNER)
(504) 610-5194
Entity
Organization
Contact information
Practice address
1485 W WARM SPRINGS RD STE 109-B, HENDERSON, NV 89014-7631
(702) 482-9980
Mailing address
2764 N GREEN VALLEY PKWY # 469, HENDERSON, NV 89014-2120
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609359165
—
CA
05
—
250006009
—
NV
Enumeration date
10/27/2019
Last updated
12/14/2020
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