Organization
GUARDIAN CONVENIENT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIKA OKECHUKWU NP (PRESIDENT)
(702) 478-0404
Entity
Organization
Contact information
Practice address
11850 TEVARE LN, LAS VEGAS, NV 89138-6501
(702) 478-0404
Mailing address
10300 W CHARLESTON BLVD STE 13-416, LAS VEGAS, NV 89135-1037
(702) 478-0404
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/28/2017
Last updated
09/28/2017
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