Individual
JOHN CARLOS COELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5040 HAYWARD AVE, LAS VEGAS, NV 89122-6823
(702) 475-0094
Mailing address
5040 HAYWARD AVE, LAS VEGAS, NV 89122-6823
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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