Organization
LAS VEGAS PAIUTE TRIBE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWANDA CUSHMAN (BUSINESS OFFICE MANAGER)
(702) 382-0784
Entity
Organization
Contact information
Practice address
1257 PAIUTE CIR, LAS VEGAS, NV 89106-3202
(702) 382-0784
(702) 384-0072
Mailing address
1257 PAIUTE CIR, LAS VEGAS, NV 89106-3202
(702) 382-0784
(702) 384-0072
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/28/2015
Last updated
09/28/2015
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