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Organization

MELIOREM SLEEP SERVICES

Active
Other names
MelioREM Sleep Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. INNOCENT C EZENWA MD (OWNER/PHYSICIAN)
(755) 557-4900
Entity
Organization

Contact information

Practice address
2115 GREEN VISTA DR STE 101, SPARKS, NV 89431-8516
(775) 557-4900
(775) 557-7240
Mailing address
2115 GREEN VISTA DR STE 101, SPARKS, NV 89431-8516
(775) 557-4900
(775) 557-7240

Taxonomy

Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
16000
NV
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary

Other

Enumeration date
03/02/2017
Last updated
11/05/2021
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