NPI 1841764602

Ebony Cole

Practitioner Driver Henderson, NV

Practice location

Address: 204 W Pacific Ave, Henderson, NV 89015-7376
Phone: (702) 565-1020
Fax: (702) 565-1035

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 1605073477 (NV)

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Registry record

NPI: 1841764602
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jan 2019
Record last updated: 15 Jan 2019

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.