Individual
ADELE HOLSTON BREEDLOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 S RANCHO DR, SUITE E2B, LAS VEGAS, NV 89106-3854
(702) 771-5578
(702) 837-0579
Mailing address
801 S RANCHO DR, SUITE E2B, LAS VEGAS, NV 89106-3854
(702) 771-5578
(702) 837-0579
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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