AEVA CLINIC LLC NPI 1750886784

NPI Information

AEVA CLINIC LLC is a general practice in Las Vegas, NV. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee AEVA CLINIC LLC NPI is 1750886784. The provider is registered as an organization entity type.
The provider Is Doing Business As Aeva Ageless Aesthetics Clinic.

The provider's business location address is:

4641 BLUE DIAMOND RD STE 120A
LAS VEGAS, NV
ZIP 89139-610
Phone: (702) 558-2382
Fax: (702) 558-5407

The provider's authorized official is Barbara Deinet .
The authorized official title is President and has the following contact phone number (702) 219-6173.

The enumeration date for this NPI number is 3/30/2018 and was last updated on 9/18/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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