Imperial Excell Care Medical LLC

NPI #1619519022 in Las Vegas, Nevada

Provider Information

NPI Number
1619519022
Entity Type
Organization
Organization Name
Imperial Excell Care Medical LLC
Primary Specialty
Nurse Practitioner
Enumeration Date
Oct 17, 2019
Last Updated
Jun 2, 2023

Practice Location

Address
4055 SPENCER ST STE 131
State
Nevada
ZIP Code
89119-5251
Phone
(702) 258-1384

Authorized Official

Name
JOSE IMPERIAL
Title
OWNER
Phone
(702) 239-1592

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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