Organization
BRIGHT HORIZON MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ODELAISY AREVALO BLANCO (OWNER)
(702) 661-6416
Entity
Organization
Contact information
Practice address
4521 E BONANZA RD APT 258, LAS VEGAS, NV 89110-3395
(702) 661-6416
Mailing address
4521 E BONANZA RD APT 258, LAS VEGAS, NV 89110-3395
(702) 661-6416
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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