Organization
VEGAS VEIN VIXEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TORRIE CLONTZ APRN (FNP)
(562) 665-5770
Entity
Organization
Contact information
Practice address
9433 VALLEY HILLS AVE, LAS VEGAS, NV 89134-0152
(562) 665-5770
Mailing address
9433 VALLEY HILLS AVE, LAS VEGAS, NV 89134-0152
(562) 665-5770
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/23/2023
Last updated
11/23/2023
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