Glam D By Sisters
Community/Behavioral Health in Las Vegas, NV. Organization (NPI-2).
NPI number1164028437
StatusActive
Last updated in NPPESDec 10, 2020
Details
- NPI
- 1164028437
- Entity type
- Organization (NPI-2)
- Legal business name
- Glam D By Sisters
- Organization subpart
- No
- Enumeration date
- Dec 10, 2020
- Certification date
- Dec 10, 2020
- Last updated
- Dec 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
3242 E Desert Inn Rd Ste 13Las Vegas, NV 89121-3337
Phone 702-610-1715
Mailing address
3242 E Desert Inn Rd Ste 13Las Vegas, NV 89121-3337
Phone 702-610-1715
Authorized official
Jazzamin Clark
Manager
7026101715
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