Organization
COREOLATE 360 FITNESS
Active
Other names
COREolate 360 Fitness & CPR Training
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILBUR LASANE JR. CPT, CNC, CPR (OWNER/ TRAINER/ INSTRUCTOR)
(725) 200-0821
Entity
Organization
Contact information
Practice address
1931 GIANT PINE AVE, NORTH LAS VEGAS, NV 89031-5071
(725) 200-0821
Mailing address
1931 GIANT PINE AVE, NORTH LAS VEGAS, NV 89031-5071
(725) 200-0821
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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