NPI | 1457662611 |
---|---|
Doing Business As | SOUTHWEST WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | JOAN S. LEAKS President And Owner 775-751-2100 |
Organization Subpart ? | No |
Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: NV 5178) |
Enumeration Date | 2010-06-23 |
Last Update Date | 2010-06-23 |