Organization
OMI WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS S BALSEIRO CRUZ (MANAGER)
(725) 304-9994
Entity
Organization
Contact information
Practice address
2801 W CHARLESTON BLVD STE 200, LAS VEGAS, NV 89102-1965
(725) 304-9994
Mailing address
2801 W CHARLESTON BLVD STE 200, LAS VEGAS, NV 89102-1965
(725) 304-9994
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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