Organization
THERAPEUTIC INTEGRATED MEDICAL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANA VALETON (PRESIDENT/OWNER)
(305) 303-8108
Entity
Organization
Contact information
Practice address
3111 S MARYLAND PKWY, LAS VEGAS, NV 89109-2331
(702) 617-6313
Mailing address
PO BOX 71526, LAS VEGAS, NV 89170-1526
(702) 617-6313
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
NV
208D00000X
General Practice Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
03/06/2018
Last updated
01/23/2020
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