Individual
MR. CHARLES BENEDICT FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2633 HICKEY AVE, NORTH LAS VEGAS, NV 89030-7398
(702) 324-4056
Mailing address
3792 LODINA CT, LAS VEGAS, NV 89141-3510
(702) 580-4601
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1605212865
—
NV
Enumeration date
11/17/2021
Last updated
11/17/2021
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