Organization
GAY AND LESBIAN COMMUNITY CENTER OF SOUTHERN NEVADA INC
Active
Other names
The Center
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA PITTMAN (CREDENTIALING MANAGER)
(512) 623-6995
Entity
Organization
Contact information
Practice address
401 S MARYLAND PKWY, LAS VEGAS, NV 89101-7206
(702) 733-9800
(702) 733-9550
Mailing address
401 S MARYLAND PKWY, LAS VEGAS, NV 89101-7206
(702) 733-9800
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
06/27/2024
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