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330 S Lola Ln Suite# 200 Pahrump NV 89048-0884 | |
(954) 656-8855 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 330 S Lola Ln, Pahrump, Nevada |
Authorized Official Name and Position | Veronica Colon (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 9546568855 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2929 N University Dr Suite# 110 Coral Springs FL 33065-5081 Ph: (775) 751-0695 | 330 S Lola Ln Suite# 200 Pahrump NV 89048-0884 Ph: (954) 656-8855 |
NPI Number | 1134421712 |
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Provider Enumeration Date | 12/02/2010 |
Last Update Date | 12/02/2010 |
Identifier | Type | State | Issuer |
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1134421712 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 936 (Nevada) | Primary |
Ryse N Shine Wellness Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 70 S Highway 160, Unit 101, Pahrump, NV 89048 Phone: 760-382-5115 Fax: 702-825-7893 | |
Pahrump Family Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1280 E Calvada Blvd, Pahrump, NV 89048 Phone: 775-910-9811 Fax: 775-751-3056 |