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Individual

ELENE SCHLICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4850 W FLAMINGO RD, LAS VEGAS, NV 89103-3705
(702) 871-9917
Mailing address
1620 GREY BULL WAY, LAS VEGAS, NV 89128-2300
(323) 337-2074

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Y3540886
CA
Enumeration date
02/16/2021
Last updated
02/16/2021
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