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Individual

ELIJAH CAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7131 S DURANGO DR, LAS VEGAS, NV 89113-2069
(702) 661-5355
Mailing address
6246 SUGARTREE AVE, LAS VEGAS, NV 89141-8511

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
CHW15562
NV
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
09/29/2023
Last updated
09/29/2023
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