IDENTITY HORMONES NV LLC

HENDERSON, NV
NPI1780441998
Entity TypeOrganization
Authorized ContactTEAH PHILLIPS
Credentialing Manager
901-205-3999
Organization Subpart ?No
Primary Taxonomy207QA0505X Family Medicine Adult Medicine
Enumeration Date2024-03-04
Last Update Date2024-03-04
Business Address
IDENTITY HORMONES NV LLC
1701 N GREEN VALLEY PKWY STE F
HENDERSON, NV 89074-5885
Phone number: 602-354-3925
Mailing Address
IDENTITY HORMONES NV LLC
1701 N GREEN VALLEY PKWY STE F
HENDERSON, NV 89074-5885
Phone number: