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4310 W Cheyenne Ave N Las Vegas NV 89032-2484 | |
| (702) 763-7811 | |
| (702) 947-4920 |
| Full Name | |
|---|---|
| Speciality | Clinic/center |
| Location | 4310 W Cheyenne Ave, N Las Vegas, Nevada |
| Authorized Official Name and Position | Uzoma C Osuchukwu (CEO/MEDICAL DIRECTOR) |
| Authorized Official Contact | 7027637811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4310 W Cheyenne Ave North Las Vegas NV 89032-2484 Ph: (702) 763-7811 | 4310 W Cheyenne Ave N Las Vegas NV 89032-2484 Ph: (702) 763-7811 |
| NPI Number | 1467095141 |
|---|---|
| Provider Enumeration Date | 10/24/2019 |
| Last Update Date | 04/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467095141 | NPI | - | NPPES |
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