Organization
VIVA LA MENTE WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE RUIZ (OWNER)
(725) 264-1380
Entity
Organization
Contact information
Practice address
4550 W OAKEY BLVD UNIT 111-F, LAS VEGAS, NV 89102-1581
(725) 400-1888
Mailing address
2820 W CHARLESTON BLVD STE 40, LAS VEGAS, NV 89102-1934
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/12/2022
Last updated
11/01/2022
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