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Contact Information

CHERYLLYN LONGORIA
6171 W CHARLESTON BLVD
BLDG 13
LAS VEGAS, NV89146-1126
 Phone: 702-486-6166
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Early Intervention Provider Agency

252Y00000X
Indicates primary specialty

NPI Profile & details for CHERYLLYN LONGORIA · (Female)

NPI # 1013277367
Status Active
Credentials
Entity Individual
Enumeration date 05/21/2012
Last updated 06/03/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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