Individual
MS. CHANEL NICOLE ELVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7515 SPRING STUEBNER RD APT 235, SPRING, TX 77379-2465
(646) 248-2756
Mailing address
7515 SPRING STUEBNER RD APT 235, SPRING, TX 77379-2465
(646) 248-2756
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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