Organization
IHAWA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALI JAI AL ZAKAR FAISON (PRESIDENT)
(702) 527-1463
Entity
Organization
Contact information
Practice address
1504 COUPLES ST, LAS VEGAS, NV 89128-2155
(702) 527-1463
(888) 959-8990
Mailing address
1504 COUPLES ST, LAS VEGAS, NV 89128-2155
(702) 527-1463
(888) 959-8990
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
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