NPI | 1164631693 |
---|---|
Doing Business As | PERFORMANCE HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | TREVELYNN DEAN HENUSET President 702-966-5920 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NV B00970) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC27607) |
111NR0400X (Licence: NV B00970) | |
Enumeration Date | 2007-05-22 |
Last Update Date | 2020-08-22 |