| Living Waters International | |
|
4780 W Ann Rd Ste 5-239 North Las Vegas NV 89031-3859 | |
| (702) 577-4118 | |
| (702) 925-4775 |
| Full Name | Living Waters International |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4780 W Ann Rd Ste 5-239, North Las Vegas, Nevada |
| Authorized Official Name and Position | Christina Louise Sanford (FOUNDER/CEO) |
| Authorized Official Contact | 7025774118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Waters International 4780 W Ann Rd Ste 5-239 North Las Vegas NV 89031-3859 Ph: (702) 577-4118 | Living Waters International 4780 W Ann Rd Ste 5-239 North Las Vegas NV 89031-3859 Ph: (702) 577-4118 |
| NPI Number | 1073746061 |
|---|---|
| Provider Enumeration Date | 08/25/2009 |
| Last Update Date | 08/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073746061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 5312-C (Nevada) | Primary |
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