Individual
LEILANI FUENTES SEVILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 464-3410
Mailing address
6900 N. PECOS ROAD, ATTN: NEC PACT SW LEILANI SEVILLA, NORTH LAS VEGAS, NV 89086
(702) 464-3410
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4835G
AL
Other
Enumeration date
06/17/2020
Last updated
02/02/2023
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