Individual
CHARQUINTA YVETTE GRILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4144 WHEATLEIGH CT, LAS VEGAS, NV 89115-8228
(702) 410-4451
Mailing address
4144 WHEATLEIGH CT, LAS VEGAS, NV 89115-8228
(702) 410-4451
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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