| Imaj Skin & Wellness Center Llc | |
|
10161 Park Run Dr Ste 150 Las Vegas NV 89145-8872 | |
| (408) 833-3158 | |
| Not Available |
| Full Name | Imaj Skin & Wellness Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 10161 Park Run Dr Ste 150, Las Vegas, Nevada |
| Authorized Official Name and Position | Cherry M Lee (CEO) |
| Authorized Official Contact | 4088333158 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Imaj Skin & Wellness Center Llc 10161 Park Run Dr Ste 150 Las Vegas NV 89145-8872 Ph: () - | Imaj Skin & Wellness Center Llc 10161 Park Run Dr Ste 150 Las Vegas NV 89145-8872 Ph: (408) 833-3158 |
| NPI Number | 1194319517 |
|---|---|
| Provider Enumeration Date | 02/25/2021 |
| Last Update Date | 03/10/2023 |
| Medicare PECOS PAC ID | 3173939170 |
|---|---|
| Medicare Enrollment ID | O20210316001846 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194319517 | NPI | - | NPPES |
| Provider Name | Cherry M Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487906673 PECOS PAC ID: 1052566577 Enrollment ID: I20130306000234 |
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