Organization
JD TOM VENTURES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HARDY (ADMINISTRATOR)
(702) 904-0260
Entity
Organization
Contact information
Practice address
1460 E CALVADA BLVD, PAHRUMP, NV 89048-5822
(702) 904-0260
Mailing address
9867 ANTELOPE CANYON AVE, LAS VEGAS, NV 89147-7739
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
11/21/2020
Last updated
04/13/2021
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