Individual
ELESHIA LUCIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1930 IDAHO ST, PAHRUMP, NV 89048-5939
(702) 417-0775
Mailing address
1930 IDAHO ST, PAHRUMP, NV 89048-5939
(702) 417-0775
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/07/2014
Last updated
06/07/2014
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