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Organization

ELITE HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. NATIVIDAD G MEDINA (ADMINISTRATOR)
(702) 639-0548
Entity
Organization

Contact information

Practice address
1905 MCDANIEL ST STE 102, N LAS VEGAS, NV 89030-7170
(702) 639-0548
(702) 639-0735
Mailing address
1905 MCDANIEL ST STE 102, N LAS VEGAS, NV 89030-7170
(702) 639-0548
(702) 639-0735

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
08/09/2017
Last updated
07/21/2022
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