Individual
CHARLES ELDRIDGE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4201 E CRAIG RD APT 1081, NORTH LAS VEGAS, NV 89030-7569
(702) 557-4436
Mailing address
4201 E.CRAIG RD.#1081, LAS VEGAS, NV 89030
(702) 557-4436
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/03/2014
Last updated
02/03/2014
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