Organization
AUMBRIA HEALTH AND AESTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLADYS AMPONG KODJOE M.D. (PRACTICE OWNER)
(702) 241-8721
Entity
Organization
Contact information
Practice address
1301 BERTHA HOWE AVE, STE# 2, MESQUITE, NV 89027-7502
(702) 345-3312
(702) 345-3374
Mailing address
1301 BERTHA HOWE AVE, STE# 2, MESQUITE, NV 89027-7502
(702) 345-3312
(702) 345-3374
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13300
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NV20151021732
NV SECRETARY OF STATE
NV
Enumeration date
02/24/2015
Last updated
03/18/2016
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