Organization
BALANCED BODY MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI POWELL (SENIOR ACCOUNTING MANAGER)
(702) 724-5157
Entity
Organization
Contact information
Practice address
7975 W SAHARA AVE STE 101, LAS VEGAS, NV 89117-7916
(725) 205-2457
Mailing address
7975 W SAHARA AVE STE 101, LAS VEGAS, NV 89117-7916
(725) 205-2457
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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