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Search › Nevada › 103K00000X

Clevonne Funches

NPI 1154605038 · on the registry since 2011 · sole proprietor

Practice

Address
800 N Rainbow Blvd Ste 148
Las Vegas, NV 89107
Phone
(702) 510-9140
Organisation at this address
Bric
Mimcr
Vegas Np Llc
Telemind Inc
Joanne Culver
Inferred from a shared address, not stated in the registry.
Clinicians at this address
130

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
NV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-10-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada