| NPI | 1821961277 |
|---|---|
| Doing Business As | LONG LIVE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | ALICIA FLAMENCO Nurse Practitioner 702-518-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-09-23 |
| Last Update Date | 2026-02-16 |