NPI 1407084395
State of Nevada
Practice location
- Address
- 1161 S Valley View Blvd, Las Vegas, NV 89102-1854
- Phone
- (702) 486-7670
Authorised official
- Name
- Janelle Mulvenon
- Title
- Bureau Chief
- Phone
- (775) 688-0327
Registered specialties
Early Intervention Provider Agency
Primary
Registry record
- NPI
- 1407084395
- Entity type
- Organization
- NPI issued
- 30 Jun 2009
- Record last updated
- 30 Jun 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.