Individual
CHINAZOR THELMA EZELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 W SAHARA AVE STE 6C, LAS VEGAS, NV 89102-4383
(702) 720-9037
Mailing address
149 TYLER CT, HENDERSON, NV 89074-0660
(702) 610-4190
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225C00000X
Rehabilitation Counselor
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
08/08/2018
Last updated
09/24/2018
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