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Organization

MEDICOTEK INC

Active
Parent organization
MEDICOTEK INC
Other names
OPTIMA HEALTHCARE
Organization subpart
Yes

Provider details

NPI number
Legal business name
MEDICOTEK INC
Authorized official
MARIVIC LUNA BANAL (DIRECTOR)
(702) 778-4838
Entity
Organization

Contact information

Practice address
6859 S EASTERN AVE STE 103, LAS VEGAS, NV 89119-0003
(702) 778-4838
Mailing address
6859 S EASTERN AVE STE 103, LAS VEGAS, NV 89119-0003

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2084P0800X
Psychiatry Physician
261QR0200X
Radiology Clinic/Center
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
08/09/2021
Last updated
10/27/2021
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