Organization
THRIVELAB CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA P HOST (CHIEF EXECUTIVE OFFICER)
(949) 282-7260
Entity
Organization
Contact information
Practice address
2719 S EL CAMINO REAL, SAN CLEMENTE, CA 92672-3354
(737) 377-1600
(949) 569-1295
Mailing address
2654 W HORIZON RIDGE PKWY, STE. B5, PMB 1132, HENDERSON, NV 89052-2858
(949) 569-1295
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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