Organization
ACNM 1 LLC
Active
Other names
A Clinic Near Me Eastern
Organization subpart
No
Provider details
NPI number
Authorized official
MARY CHARMAINE ESTRELLA CAMPANA MD (MANAGER)
(702) 978-1648
Entity
Organization
Contact information
Practice address
4560 S EASTERN AVE STE 14, LAS VEGAS, NV 89119-6182
(702) 751-3336
Mailing address
1050 E FLAMINGO RD STE 107, LAS VEGAS, NV 89119-7429
(702) 978-1648
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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