Organization
TRANSFORMING 2 GREATNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE DENISE BROWN (OWNER)
(702) 301-4950
Entity
Organization
Contact information
Practice address
2616 SLIDE CANYON AVE, N LAS VEGAS, NV 89081-6411
(702) 501-8633
Mailing address
2616 SLIDE CANYON AVE, N LAS VEGAS, NV 89081-6411
(702) 501-8633
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
NV20121134253
NV
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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