Individual
DORI LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5232 CARMEN BLVD, LAS VEGAS, NV 89108-1347
(702) 994-9390
Mailing address
5232 CARMEN BLVD, LAS VEGAS, NV 89108-1347
(702) 994-9390
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
01/21/2017
Last updated
01/21/2017
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