Organization
REJUVENATION THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN VILLIATORIA NP (OWNER)
(702) 277-2778
Entity
Organization
Contact information
Practice address
5949 CASA CORONADO AVE, LAS VEGAS, NV 89131-3906
(702) 277-2778
Mailing address
5949 CASA CORONADO AVE, LAS VEGAS, NV 89131-3906
(702) 277-2778
(702) 946-1113
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/10/2024
Last updated
09/04/2025
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