Hcpn at City Impact Wellness Clinic LLC

NPI #1023576840 in Las Vegas, Nevada

Provider Information

NPI Number: 1023576840
Entity Type: Organization
Organization Name: Hcpn at City Impact Wellness Clinic LLC
Primary Specialty: Internal Medicine
Enumeration Date: Mar 11, 2019
Last Updated: Mar 11, 2019

Practice Location

Address: 968 E SAHARA AVE STE C
City: Las Vegas
State: Nevada
ZIP Code: 89104-3022
Phone: (702) 871-9917

Authorized Official

Name: MR. JOSE VIRAY
Title: OWNER
Phone: (702) 871-9917

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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