ELEGIO BANTILAN

LAS VEGAS, NV
NPI1720573801
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2018-06-29
Last Update Date2018-06-29
Business Address
ELEGIO BANTILAN
525 E BONANZA RD
LAS VEGAS, NV 89101-3038
Phone number: 702-947-4449
Mailing Address
ELEGIO BANTILAN
525 E BONANZA RD
LAS VEGAS, NV 89101-3038
Phone number: 702-947-4449
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