Organization
MIND BRIDGET LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIONNIS AGUILAR TORRES (MANAGER)
(725) 205-0636
Entity
Organization
Contact information
Practice address
4660 S EASTERN AVE STE 203A, LAS VEGAS, NV 89119-6139
(725) 205-0636
Mailing address
4660 S EASTERN AVE STE 203A, LAS VEGAS, NV 89119-6139
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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