Individual
ELSIE CALLAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
855 N STEPHANIE ST UNIT 213, HENDERSON, NV 89014-3081
(702) 642-5227
Mailing address
375 CONESTOGA WAY, HENDERSON, NV 89002-9558
(702) 351-0145
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/18/2015
Last updated
12/18/2015
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