Organization
MINDBODYSOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MALIK JENKINS QMHA (SUPERVISOR)
(702) 218-6271
Entity
Organization
Contact information
Practice address
2725 S JONES BLVD, LAS VEGAS, NV 89146-5605
(702) 218-6271
Mailing address
2725 S JONES BLVD, LAS VEGAS, NV 89146-5605
(702) 218-6271
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
305R00000X
NV
Other
Enumeration date
06/14/2013
Last updated
06/14/2013
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