STACEY VAN WELLS

LAS VEGAS, NV
NPI1528490729
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2013-07-30
Last Update Date2013-07-30
Business Address
STACEY VAN WELLS
9414 W LAKE MEAD BLVD
LAS VEGAS, NV 89134-8312
Phone number: 702-701-1708
Mailing Address
STACEY VAN WELLS
9414 W LAKE MEAD BLVD
LAS VEGAS, NV 89134-8312
Phone number: 702-278-3622
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