Individual
PHANESHA KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3348 APENZELL CT, LAS VEGAS, NV 89129-6181
(702) 612-7898
Mailing address
3348 APENZELL CT, LAS VEGAS, NV 89129-6181
(702) 612-7898
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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