Organization
STELLAR LIVING ENTERPRISES , INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEXTER DESHA WEATHERS (DIRECTOR)
(702) 806-1380
Entity
Organization
Contact information
Practice address
2191 PINETOP LN, UNIT # 108, LAS VEGAS, NV 89119-7812
(702) 806-1380
Mailing address
2191 PINETOP LN, UNIT # 108, LAS VEGAS, NV 89119-7812
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
01/16/2016
Last updated
01/16/2016
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