Individual
STEPHANIE BANDICS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
543 BRIGADIER ST, HENDERSON, NV 89002-9644
(702) 569-5214
Mailing address
543 BRIGADIER ST, HENDERSON, NV 89002-9644
(702) 569-5214
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/07/2011
Last updated
11/07/2011
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