Provider First Line Business Practice Location Address:
4505 S. MARYLAND PRKWAY, ROOM 226
Provider Second Line Business Practice Location Address:
UNLV COLLEGE OF EDUCATION, CARLSON EDUCATION BUILDING
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89154-3001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-671-2200
Provider Business Practice Location Address Fax Number:
702-385-7719
Provider Enumeration Date:
01/17/2014