Organization
AJ HEALTH SERVICES LLC
Active
Other names
AJ Direct Care and Wellness Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
PANISSARA NATALIE TEERAANUKUL NP (PROVIDER)
(725) 250-8697
Entity
Organization
Contact information
Practice address
8905 W POST RD STE 110, LAS VEGAS, NV 89148-2429
(702) 825-5553
(702) 825-5552
Mailing address
8581 GENESEE CT, LAS VEGAS, NV 89139-6805
(702) 825-5553
(702) 825-5552
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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