Organization
CHOICE HEALTH PALACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LETANIYA WARREN (OWNER)
(702) 686-0600
Entity
Organization
Contact information
Practice address
2750 S RANCHO DR, LAS VEGAS, NV 89102-6400
(702) 463-9066
(702) 463-9067
Mailing address
631 N STEPHANIE ST # 260, HENDERSON, NV 89014-2633
(702) 250-9200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
06/04/2021
Last updated
07/21/2021
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