Individual
GAIL BULOSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8667 MORENO MOUNTAIN AVE, LAS VEGAS, NV 89178-7500
(702) 617-0107
Mailing address
8667 MORENO MOUNTAIN AVE, LAS VEGAS, NV 89178-7500
(702) 617-0107
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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