MUJICA TRENCHE - VITALITY MD PC

LAS VEGAS, NV
NPI1720355621
Entity TypeOrganization
Authorized ContactSAMUEL A MUJICA TRENCHE
Sole Member
702-888-0052
Organization Subpart ?No
Primary Taxonomy208800000X Urology
Enumeration Date2011-11-19
Last Update Date2012-03-16
Business Address
MUJICA TRENCHE - VITALITY MD PC
6380 W FLAMINGO RD STE A
LAS VEGAS, NV 89103-7129
Phone number: 702-888-0052
Mailing Address
MUJICA TRENCHE - VITALITY MD PC
PO BOX 521
ANDOVER, KS 67002-0521
Phone number: 316-927-3884
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