Organization
NUSKIN BIOLOGICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY KIDIAVAYI NP (OWNER)
(702) 304-2144
Entity
Organization
Contact information
Practice address
801 S RANCHO DR STE B1B, LAS VEGAS, NV 89106-3871
(702) 400-0517
Mailing address
4220 SAXTON GREEN AVE, LAS VEGAS, NV 89141-4354
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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