Individual
WACONDA ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5304 DAYWOOD ST, NORTH LAS VEGAS, NV 89031-7917
(702) 649-5995
(702) 399-9801
Mailing address
5304 DAYWOOD ST, NORTH LAS VEGAS, NV 89031-7917
(702) 649-5995
(702) 399-9801
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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