Individual
ELAINE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1881 W ALEXANDER RD, J-1037, NORTH LAS VEGAS, NV 89032-9016
(702) 778-6741
Mailing address
1881 W ALEXANDER RD, 1037-J, NORTH LAS VEGAS, NV 89032-9016
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
2000702922
NV
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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