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Individual

MRS. TRINA COLETTE SQUALLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MBA, BSHCS

Contact information

Practice address
1555 E FLAMINGO RD, STE# 158, LAS VEGAS, NV 89119-5258
(702) 385-9097
Mailing address
223 ZINC ST, UNIT B, HENDERSON, NV 89015-5033
(702) 502-5459

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
NV

Other

Enumeration date
01/16/2013
Last updated
01/16/2013
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