Individual
ELISA JOHANSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 WILSON CIR, BOULDER CITY, NV 89005-4401
(702) 294-7100
Mailing address
200 WILSON CIR, BOULDER CITY, NV 89005-4401
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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