Individual
DELORES GLENN-LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 E CHARLESTON BLVD, 226, LAS VEGAS, NV 89104-6659
(702) 968-5071
(702) 938-1497
Mailing address
4000 E CHARLESTON BLVD, 226, LAS VEGAS, NV 89104-6659
(702) 968-5071
(702) 938-1497
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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