Individual
CAROLE FRYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7720 W SAHARA AVE, SUITE 104, LAS VEGAS, NV 89117-2799
(702) 357-7796
Mailing address
7720 W SAHARA AVE, LAS VEGAS, NV 89117-2799
(702) 357-7796
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
NV20111685065
NV
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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