Individual
DEIDRE FAWN CLEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2893 KLINGER CIR APT 2, LAS VEGAS, NV 89121-1023
(661) 448-5496
Mailing address
2893 KLINGER CIR APT 2, LAS VEGAS, NV 89121-1023
(661) 448-5496
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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