Individual
EDELLENE IGNACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1931
(702) 831-6670
Mailing address
3101 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1931
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-3490
NV
Other
Enumeration date
08/14/2018
Last updated
08/08/2024
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