Individual
KIYONNA COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
222 S RAINBOW BLVD STE 211, LAS VEGAS, NV 89145-5356
(702) 423-1333
Mailing address
5130 S FORT APACHE RD STE 215-164, LAS VEGAS, NV 89148-1719
(702) 432-1333
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/21/2020
Last updated
10/05/2022
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