Organization
LYMPHATIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE AHMADI (CEO)
(702) 367-6015
Entity
Organization
Contact information
Practice address
3560 S JONES BLVD, LAS VEGAS, NV 89103-1115
(702) 367-6015
Mailing address
3560 S JONES BLVD, LAS VEGAS, NV 89103-1115
(702) 367-6015
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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