LIANNE SHIZUE NISHIDA-COSTELLO

LAS VEGAS, NV
NPI1467231506
Former NameLIANNE SHIZUE NISHIDA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: NV  CHWI-5446)
Enumeration Date2023-09-27
Last Update Date2023-09-27
Business Address
LIANNE SHIZUE NISHIDA-COSTELLO CHW
400 SHADOW LANE SUITE 104
LAS VEGAS, NV 89106
Phone number: 702-731-0909
Mailing Address
LIANNE SHIZUE NISHIDA-COSTELLO CHW
8936 SPANISH RIDGE AVENUE CREDENTIALING
LAS VEGAS, NV 89148
Phone number: 702-731-0909
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