Organization
STEP BY STEP WCA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN Z COLON OFFICE MANAGER (OFFICE MANAGER)
(702) 772-9755
Entity
Organization
Contact information
Practice address
1700 E DESERT INN RD STE 113, LAS VEGAS, NV 89169-3206
(702) 862-4774
Mailing address
1700 E DESERT INN RD STE 113, LAS VEGAS, NV 89169-3206
(702) 862-4774
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
08/19/2020
Last updated
11/11/2020
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