Provider Information for 1043681323
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ELAINE CHESTER
Sex: Female
NPI: 1043681323
Last Updated: 2020-03-30
Certification Date: 2020-03-30
Certification Date: 2020-03-30
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1043681323 | ||||||||
| Enumeration Date | 2015-10-13 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 601 S. RANCHO A10 LAS VEGAS, NV 89106 United States Phone: 702-437-4673 | Fax: | ||||||||
| Primary Practice Address | 601 S RANCHO DR STE A10 LAS VEGAS, NV 89106-4898 United States Phone: 024-374-6737 | Fax: | ||||||||
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