Individual
ELEVERA SOLOFA-FATU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 E FLAMINGO RD, LAS VEGAS, NV 89119-5249
(702) 369-4357
(702) 836-2160
Mailing address
1640 E FLAMINGO RD, LAS VEGAS, NV 89119-5249
(702) 369-4357
(702) 836-2160
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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