Individual
CANDICE ANN CONTRERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QBA
Contact information
Practice address
5715 W ALEXANDER RD, SUITE 155, LAS VEGAS, NV 89130-2807
(702) 586-8693
(702) 476-2690
Mailing address
608 LANGTRY DRIVE, LAS VEGAS, NV 89107-2019
(702) 586-8693
(702) 476-2690
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
274455064
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274455064
—
NV
Enumeration date
11/03/2011
Last updated
11/03/2011
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