God And Fresh Family Chiropractic
Chiropractor in Las Vegas, NV. Organization (NPI-2).
NPI number1174570592
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1174570592
- Entity type
- Organization (NPI-2)
- Legal business name
- God And Fresh Family Chiropractic
- Organization subpart
- No
- Enumeration date
- May 30, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | B1001 | NV | Yes |
Practice location
7240 W Lake Mead BlvdLas Vegas, NV 89128-8356
Phone 702-453-0440 · Fax 702-453-0550
Mailing address
7240 W Lake Mead BlvdLas Vegas, NV 89128-8356
Phone 702-453-0440 · Fax 702-453-0550
Authorized official
John Fresh
Owner
7024530440
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