Individual
CHANEL M. KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 LAS VEGAS BLVD N UNIT 2014, LAS VEGAS, NV 89101-2951
(702) 463-5242
Mailing address
3540 W SAHARA AVE # 407, LAS VEGAS, NV 89102-5816
(407) 280-1925
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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