Individual
VICKI HOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4570 S. EASTERN AVE, SUITE #21, LAS VEGAS, NV 89119-6183
(702) 733-6033
(702) 733-6033
Mailing address
4570 S. EASTERN AVE, SUITE #21, LAS VEGAS, NV 89119-6183
(702) 733-6033
(702) 733-6033
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9036
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002018599
—
NV
05
—
003102599
—
NV
Enumeration date
07/12/2006
Last updated
03/08/2023
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