Kids Turf Academy Ii, LLC

NPI #1194955096 in Las Vegas, Nevada

Provider Information

NPI Number
1194955096
Entity Type
Organization
Organization Name
Kids Turf Academy Ii, LLC
Primary Specialty
Exclusive Provider Organization
Enumeration Date
Jul 27, 2009
Last Updated
Jul 27, 2009

Practice Location

Address
1380 E SILVERADO RANCH BLVD
State
Nevada
ZIP Code
89183-5924
Phone
(702) 453-8877

Authorized Official

Name
MRS. CONNIE LINNETTE HARRIS
Title
DIRECTOR
Phone
(702) 491-1265

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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