Individual
CHIANTI COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1004 SIERRA VISTA DR, APT 8, LAS VEGAS, NV 89169-2920
(702) 772-9438
Mailing address
1004 SIERRA VISTA DR, APT 8, LAS VEGAS, NV 89169-2920
(702) 772-9438
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
05/18/2012
Last updated
05/18/2012
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