Gamboa Llc

NPI 1437370160 - Chiropractor - 111N00000X

NPI Details
NPI 1437370160
Enumeration Date 05/01/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MIRNA MIRNA
Position OWNER
Phone (702) 478-6914
Fax (702) 478-6915
Practice Location
3230 E CHARLESTON BLVD
SUITE 109
LAS VEGAS NV, 89104-6626, US
Phone (702) 478-6914
Fax (702) 478-6915
Business Location
3230 E CHARLESTON BLVD
SUITE 109
LAS VEGAS NV, 89104-6626, US
Phone (702) 478-6914
Fax (702) 478-6915
Toxanomy
Taxonomy Code 111N00000X
License State Nevada
License Number B00861
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According to our database, Gamboa Llc NPI is 1437370160, taxonomy code is 111N00000X and license number is B00861, license state is located at Nevada. Gamboa Llc physically located at 3230 E Charleston Blvd, Las Vegas NV, 89104-6626. NPI Number 1033115704 has the healthcare provider type.

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1437370160 NPI number is provided on an as is basis without warranty of any kind. 1437370160 is maintained by the National Plan & Provider Enumeration System. The contents of Gamboa Llc are for informational purposes only.