Organization
OPTIMA HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIVIC BANAL (OWNER)
(702) 236-2078
Entity
Organization
Contact information
Practice address
6859 S EASTERN AVE STE 103, LAS VEGAS, NV 89119-0003
(707) 236-2078
Mailing address
6859 S EASTERN AVE STE 103, LAS VEGAS, NV 89119-0003
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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