Glimpse of Vegas Inc.

NPI #1104190370 in Henderson, Nevada

Provider Information

NPI Number
1104190370
Entity Type
Organization
Organization Name
Glimpse of Vegas Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
GLIMPSE OF VEGAS INC.
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Mar 5, 2012
Last Updated
Mar 6, 2012

Practice Location

Address
10170 S EASTERN AVE
Address 2
SUITE 100
State
Nevada
ZIP Code
89052-3968
Phone
(702) 405-5660

Authorized Official

Name
DR. JILL OLIVER, M.D.
Title
OWNER
Phone
(702) 405-5660

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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