| |
8685 S Eastern Ave Las Vegas NV 89123-2839 | |
(702) 754-0807 | |
(702) 754-0808 |
Full Name | |
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Speciality | Counselor |
Location | 8685 S Eastern Ave, Las Vegas, Nevada |
Authorized Official Name and Position | Tonie Marie Valesano (PRESIDENT) |
Authorized Official Contact | 7027540807 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8685 S Eastern Ave Las Vegas NV 89123-2839 Ph: (702) 754-0807 | 8685 S Eastern Ave Las Vegas NV 89123-2839 Ph: (702) 754-0807 |
NPI Number | 1346383296 |
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Provider Enumeration Date | 02/14/2007 |
Last Update Date | 05/03/2017 |
Identifier | Type | State | Issuer |
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1346383296 | NPI | - | NPPES |
100508018 | Medicaid | NV |
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