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Individual

DORIS ANN QUEEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6600 COASTAL BREEZE CT, LAS VEGAS, NV 89108-4353
(725) 206-5714
Mailing address
3305 SPRING MOUNTAIN RD STE 101, LAS VEGAS, NV 89102-8629
(702) 882-8740

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Enumeration date
08/13/2021
Last updated
08/13/2021
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