| Mediwell Pro Advance Care Llc | |
|
2161 Eaglecloud Dr Henderson NV 89074-1597 | |
| (702) 619-8730 | |
| Not Available |
| Full Name | Mediwell Pro Advance Care Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2161 Eaglecloud Dr, Henderson, Nevada |
| Authorized Official Name and Position | Yaneisy Ravelo (MANAGER) |
| Authorized Official Contact | 7026198730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mediwell Pro Advance Care Llc 2161 Eaglecloud Dr Henderson NV 89074-1597 Ph: (702) 619-8730 | Mediwell Pro Advance Care Llc 2161 Eaglecloud Dr Henderson NV 89074-1597 Ph: (702) 619-8730 |
| NPI Number | 1184336133 |
|---|---|
| Provider Enumeration Date | 12/21/2022 |
| Last Update Date | 12/21/2022 |
| Certification Date | 12/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184336133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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