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6889 S Eastern Ave Las Vegas NV 89119-4687 | |
| (702) 434-1200 | |
| (702) 434-7231 |
| Full Name | |
|---|---|
| Speciality | Social Worker |
| Location | 6889 S Eastern Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Ron Zedek (OWNER) |
| Authorized Official Contact | 7024341200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6889 S Eastern Ave Las Vegas NV 89119-4687 Ph: (702) 434-1200 | 6889 S Eastern Ave Las Vegas NV 89119-4687 Ph: (702) 434-1200 |
| NPI Number | 1104186659 |
|---|---|
| Provider Enumeration Date | 05/17/2012 |
| Last Update Date | 07/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104186659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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