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Individual

MISS BRIDGET ANN ESPY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1200 W CHEYENNE AVE APT 1025, NORTH LAS VEGAS, NV 89030-7830
(702) 917-2227
Mailing address
2801 S VALLEY VIEW BLVD STE 11, LAS VEGAS, NV 89102-0176
(702) 629-5815
(702) 629-5815

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
83-2487956
NV
Enumeration date
07/09/2012
Last updated
11/20/2018
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