Individual
MR. KHALIL SADIKI SMICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2860 E FLAMINGO RD, LAS VEGAS, NV 89121-5271
(702) 802-0190
Mailing address
4625 WOOLCOMBER ST, LAS VEGAS, NV 89115-3540
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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