NPI | 1689995714 |
---|---|
Doing Business As | SOUTHWEST WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | JOAN S. LEAKS President And Owner 702-325-8713 |
Organization Subpart ? | No |
Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: NV 5178) |
Enumeration Date | 2010-06-11 |
Last Update Date | 2010-06-11 |