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Individual

MS. BERNADETTE BASILIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MBA

Contact information

Practice address
14050 KYLE CANYON ROAD, LAS VEGAS, NV 89166
(702) 321-1677
(702) 395-2850
Mailing address
14050 KYLE CANYON ROAD, LAS VEGAS, NV 89166
(702) 321-1677
(702) 395-2850

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV

Other

Enumeration date
12/17/2020
Last updated
12/17/2020
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