Individual
MR. CHIKELUBA OLISADUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PERSONAL TRAINER
Contact information
Practice address
1311 S MARYLAND PKWY, LAS VEGAS, NV 89104-3309
(702) 379-7315
Mailing address
1311 S MARYLAND PKWY, LAS VEGAS, NV 89104-3309
(702) 379-7315
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/12/2017
Last updated
07/21/2022
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