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Individual

ELLEN DALO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8685 S EASTERN AVE, LAS VEGAS, NV 89123-2839
(702) 754-0807
Mailing address
10630 TEALBROOK ST, LAS VEGAS, NV 89179-1501
(860) 878-4270

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
03/11/2022
Last updated
03/18/2022
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