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865 N Eastern Ave # A Las Vegas NV 89101-2312 | |
| (702) 431-0733 | |
| (702) 431-0448 |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 865 N Eastern Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Lynna Eskeets (OFFICE MANAGER) |
| Authorized Official Contact | 7026834191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
865 N Eastern Ave # A Las Vegas NV 89101-2312 Ph: (702) 431-0733 | 865 N Eastern Ave # A Las Vegas NV 89101-2312 Ph: (702) 431-0733 |
| NPI Number | 1699195032 |
|---|---|
| Provider Enumeration Date | 04/24/2014 |
| Last Update Date | 12/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699195032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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