Wanda Chiscolm, COTA/L

NPI 1285914515 · on the registry since 2011

Practice

Address: 6351 N. Fort Apache Rd.
Las Vegas, NV 89149
Phone: (702) 686-6469
Fax: (971) 206-5203
Organisation at this address: Marquis Companies I, Inc.
Consonus Pharmacy Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 26

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
Licence states on file: NV
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-08-16

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