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3441 Yorkminster St Las Vegas NV 89129-8906 | |
| (916) 402-7827 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3441 Yorkminster St, Las Vegas, Nevada |
| Authorized Official Name and Position | Jessica Coreen Ayala (OWNER) |
| Authorized Official Contact | 9164027827 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3441 Yorkminster St Las Vegas NV 89129-8906 Ph: (916) 402-7827 | 3441 Yorkminster St Las Vegas NV 89129-8906 Ph: (916) 402-7827 |
| NPI Number | 1578867743 |
|---|---|
| Provider Enumeration Date | 01/03/2011 |
| Last Update Date | 01/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578867743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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