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Organization

ETERNE WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JUDITH CHEROTICH LEITICH NP (NURSE PRACTITIONER)
(415) 200-7070
Entity
Organization

Contact information

Practice address
2820 W CHARLESTON BLVD STE 38, LAS VEGAS, NV 89102-1934
(725) 895-9300
Mailing address
2954 MAJESTIC HEIGHTS CT, LAS VEGAS, NV 89117-2582
(415) 200-7070

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
363LP2300X
Primary Care Nurse Practitioner

Other

Enumeration date
09/29/2021
Last updated
04/26/2024
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