Individual
MS. ANTOINETTE MIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
1240 W OWENS AVE STE 1, LAS VEGAS, NV 89106-2452
(678) 812-9764
Mailing address
1240 W OWENS AVE STE 1, LAS VEGAS, NV 89106-2452
(678) 812-9764
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/10/2009
Last updated
04/12/2024
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