Individual
DENVER POTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1731 S HIGHWAY #160, PAHRUMP, NV 89048-4711
(775) 209-9213
Mailing address
8195 RETRIEVER AVE, LAS VEGAS, NV 89147-3753
(702) 279-3160
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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