Organization
WELLNESS DREAM CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERTRUDE JANUARY (OWNER)
(725) 910-7008
Entity
Organization
Contact information
Practice address
6343 GULF WATERS ST, NORTH LAS VEGAS, NV 89081-8009
(725) 910-7008
Mailing address
6343 GULF WATERS ST, NORTH LAS VEGAS, NV 89081-8009
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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