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5715 W Alexander Rd Ste 110 Las Vegas NV 89130-2815 | |
| (702) 333-4373 | |
| (702) 333-4337 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5715 W Alexander Rd Ste 110, Las Vegas, Nevada |
| Authorized Official Name and Position | Virginia M Kendrid (PRESIDENT) |
| Authorized Official Contact | 7023334337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5715 W Alexander Rd Ste 110b Las Vegas NV 89130-2815 Ph: (702) 333-4373 | 5715 W Alexander Rd Ste 110 Las Vegas NV 89130-2815 Ph: (702) 333-4373 |
| NPI Number | 1700303435 |
|---|---|
| Provider Enumeration Date | 08/24/2017 |
| Last Update Date | 05/18/2021 |
| Certification Date | 05/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700303435 | NPI | - | NPPES |
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