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Individual

MRS. LAUREN WHITNEY PELLETIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
1454 SUMMER GLOW AVE, HENDERSON, NV 89012-4462
(702) 629-9022
Mailing address
1454 SUMMER GLOW AVE, HENDERSON, NV 89012-4462
(702) 629-9022

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
1702789662
NV

Other

Enumeration date
06/27/2012
Last updated
06/27/2012
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