Dynamic Future Llc | |
5940 S Rainbow Blvd Las Vegas NV 89118-2540 | |
(702) 862-0676 | |
Not Available |
Full Name | Dynamic Future Llc |
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Speciality | Community/behavioral Health |
Location | 5940 S Rainbow Blvd, Las Vegas, Nevada |
Authorized Official Name and Position | Wrangell Melendres (CHIEF ADMINISTRATIVE OFFICER) |
Authorized Official Contact | 7028620676 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dynamic Future Llc 5940 S Rainbow Blvd Las Vegas NV 89118-2540 Ph: (702) 862-0676 | Dynamic Future Llc 5940 S Rainbow Blvd Las Vegas NV 89118-2540 Ph: (702) 862-0676 |
NPI Number | 1568806727 |
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Provider Enumeration Date | 04/18/2013 |
Last Update Date | 04/27/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568806727 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (Nevada) | Primary |
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