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Individual

LEIDIS CASTILLO-BALLART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4325 S BRUCE ST APT 38, LAS VEGAS, NV 89119-6089
(954) 627-4931
Mailing address
4325 S BRUCE ST APT 38, LAS VEGAS, NV 89119-6089

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
01/12/2015
Last updated
01/12/2015
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