Individual
MINERVA COSIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 ALTA DR STE 4, LAS VEGAS, NV 89106-4165
(702) 589-0905
Mailing address
676 GLEN CANYON CT, LAS VEGAS, NV 89110-4028
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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