| NPI | 1528814662 |
|---|---|
| Doing Business As | BODY BALANCE MEDICAL |
| Entity Type | Organization |
| Authorized Contact | MARY HUNTLY Nurse Practitioner 702-843-0590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-04-29 |