Organization
NEURO HEALTH LLC
Active
Other names
Genesis Lifestyle Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX SPINOSO (AUTHORIZED OFFICIAL)
(702) 805-1425
Entity
Organization
Contact information
Practice address
7455 W WASHINGTON AVE STE 140, LAS VEGAS, NV 89128-4349
(702) 805-1425
Mailing address
7455 W WASHINGTON AVE STE 140, LAS VEGAS, NV 89128-4349
(702) 805-1425
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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