Whalio Doctors

NPI 1205268695

Exdous Family & Guidance Coalition LLC

Organisation Point of Service Las Vegas, NV

Practice location

Address
1415 S Maryland Pkwy, Las Vegas, NV 89104-3311
Phone
(702) 569-4455

Authorised official

Name
Myrna Pili
Title
Part Owner
Phone
(702) 569-4455

Registered specialties

Point of Service Primary
Managed Care Organizations Taxonomy 305S00000X Licence NV20131436018 (NV)

Registry record

NPI
1205268695
Entity type
Organization
NPI issued
7 Aug 2013
Record last updated
7 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.