Organization
VIRGINIA LEE PRATT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIRGINIA LEE PRATT (OWMER)
(702) 375-0294
Entity
Organization
Contact information
Practice address
2424 POLONA ST, SANDY VALLEY, NV 89019-1769
(702) 305-9475
Mailing address
777 QUARTZ AVENUE, PMB 7714, SAMDY VALLEY, NV 89019
(702) 305-9475
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
NV20161363095
NV
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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