Individual
DOMINIQUE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6360 S PECOS RD, LAS VEGAS, NV 89120-3296
(702) 816-3400
Mailing address
6360 S PECOS RD, LAS VEGAS, NV 89120-3296
(702) 816-3400
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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