Organization
NEVADA PRIME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIAGNE ARIELLE DUAVE (CEO)
(702) 588-1938
Entity
Organization
Contact information
Practice address
3340 TOPAZ ST, LAS VEGAS, NV 89121-3903
(702) 588-1938
Mailing address
3430 E FLAMINGO RD STE 311, LAS VEGAS, NV 89121-5067
(702) 324-9092
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
07/28/2020
Last updated
06/10/2021
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