Organization
LIVING LIFE GOLDEN FAMILY WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEONNI SMITH (OWNER)
(702) 824-1589
Entity
Organization
Contact information
Practice address
5135 CAMINO AL NORTE STE 261, NORTH LAS VEGAS, NV 89031-2419
(702) 824-1589
Mailing address
6212 HARDGATE ST, NORTH LAS VEGAS, NV 89031-1392
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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