Individual
BILLY BAGGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5313 VARIETY AVE, NORTH LAS VEGAS, NV 89031-0424
(702) 235-2219
Mailing address
5313 VARIETY AVE, NORTH LAS VEGAS, NV 89031-0424
(702) 235-2219
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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