Organization
CANADA MSO LLC
Active
Other names
LV Holistic Health
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE LEE HARMEL-CANADA DC (OWNER)
(563) 940-3806
Entity
Organization
Contact information
Practice address
8879 W FLAMINGO RD STE 101, LAS VEGAS, NV 89147-8732
(702) 646-1150
Mailing address
8879 W FLAMINGO RD STE 101, LAS VEGAS, NV 89147-8732
(702) 646-1150
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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