Organization
FORWARD IMPRESSIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE DAVIS (OWNER)
(702) 848-1411
Entity
Organization
Contact information
Practice address
3650 N RANCHO DR STE 109, LAS VEGAS, NV 89130-3151
(702) 848-1411
(702) 848-1413
Mailing address
3650 N RANCHO DR STE 109, LAS VEGAS, NV 89130-3151
(702) 848-1411
(702) 848-1413
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20181454330
NV
Other
Enumeration date
06/25/2018
Last updated
07/15/2020
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