Organization
VITAL WOUND CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RESTY GONZALES DE GUZAMAN JR. (CEO)
(702) 303-2647
Entity
Organization
Contact information
Practice address
9000 LAS VEGAS BLVD S UNIT 1089, LAS VEGAS, NV 89123-3370
(702) 303-2647
Mailing address
9000 LAS VEGAS BLVD S UNIT 1089, LAS VEGAS, NV 89123-3370
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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