Individual
SIMONE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 LAKE EAST DR APT B1011, LAS VEGAS, NV 89117-2205
(888) 629-3590
Mailing address
3001 LAKE EAST DR APT 1011, LAS VEGAS, NV 89117-2207
(888) 629-3590
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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