Individual
MOEPULOU MORMON ALAIASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8928 COLLEGE GREEN STREET, LAS VEGAS, NV 89148
(702) 506-6911
Mailing address
8928 COLLEGE GREEN STREET, LAS VEGAS, NV 89148
(702) 506-6911
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1603346787
NV
Other
Enumeration date
05/20/2011
Last updated
05/20/2011
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