| Rejuvenation | |
|
7419 Ardenno St North Las Vegas NV 89084-4945 | |
| (718) 362-1411 | |
| (718) 362-1651 |
| Full Name | Rejuvenation |
|---|---|
| Speciality | Family Medicine |
| Location | 7419 Ardenno St, North Las Vegas, Nevada |
| Authorized Official Name and Position | Vivian Villiatoria (OWNER) |
| Authorized Official Contact | 7183621411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rejuvenation 612 Corporate Way Ste 2m Valley Cottage NY 10989-2027 Ph: (718) 362-1411 | Rejuvenation 7419 Ardenno St North Las Vegas NV 89084-4945 Ph: (718) 362-1411 |
| NPI Number | 1891501151 |
|---|---|
| Provider Enumeration Date | 12/10/2024 |
| Last Update Date | 12/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891501151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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