Organization
KAPONO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA WAITERS (OWNER)
(702) 773-9771
Entity
Organization
Contact information
Practice address
3430 E RUSSELL RD # 301-87, LAS VEGAS, NV 89120-2201
(702) 773-9771
Mailing address
908 TORINGTON DR, LAS VEGAS, NV 89108-1829
(702) 773-4892
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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