Organization
BALANCED BODY MEDICAL, LLC
Active
Other names
Body Balance Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MARY HUNTLY NP (NURSE PRACTITIONER)
(702) 843-0590
Entity
Organization
Contact information
Practice address
7975 W SAHARA AVE STE 101, LAS VEGAS, NV 89117-7916
(702) 843-0590
Mailing address
7975 W SAHARA AVE STE 101, LAS VEGAS, NV 89117-7916
(702) 843-0590
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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