Individual
ONAH NSOFOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3450 W CHEYENNE AVE, NORTH LAS VEGAS, NV 89032-8222
(702) 275-5461
Mailing address
1504 JOHN BEVY CT, NORTH LAS VEGAS, NV 89086-1382
(702) 275-5461
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/16/2014
Last updated
06/09/2022
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