Individual
LA FONDA RENEE DEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2126 SLEEPY CT, LAS VEGAS, NV 89106-3676
(702) 510-2902
Mailing address
2126 SLEEPY CT, LAS VEGAS, NV 89106-3676
(702) 510-2902
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/07/2010
Last updated
02/21/2012
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