Organization
INTERVENTION WELLNESS SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMI VERNETTE BASS (COMPLIANCE)
(702) 591-3055
Entity
Organization
Contact information
Practice address
10842 HAMMETT PARK AVE, LAS VEGAS, NV 89166-6046
(702) 591-3055
Mailing address
10842 HAMMETT PARK AVE, LAS VEGAS, NV 89166-6046
(702) 591-3055
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
—
—
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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