Individual
COLIN HORSFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
212 S JONES BLVD, LAS VEGAS, NV 89107-2657
(702) 639-1940
Mailing address
212 S JONES BLVD, LAS VEGAS, NV 89107-2657
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/07/2020
Last updated
09/07/2020
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