NPI | 1992038152 |
---|---|
Doing Business As | BODYLOGICMD OF LAS VEGAS |
Entity Type | Organization |
Authorized Contact | JACK ANSTANDIG Director 866-972-5182 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: NV 13232) |
Enumeration Date | 2009-09-04 |
Last Update Date | 2009-09-04 |