NPI | 1013330695 |
---|---|
Doing Business As | PRO-HEALTH WELLNESS GROUP |
Entity Type | Organization |
Authorized Contact | KEISHA GRAHAM Director Of Operations 702-490-9009 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2014-02-02 |
Last Update Date | 2023-07-18 |