Individual
MISS RILEY COUNCIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A
Contact information
Practice address
9183 W FLAMINGO RD STE 100, LAS VEGAS, NV 89147-6464
(702) 650-6508
Mailing address
6621 COWBOY TRL, LAS VEGAS, NV 89131-2915
(702) 274-6167
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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