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Individual

MISS ANISA LASHAWN BOLLING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4127 NEIGHBORLY CT, N LAS VEGAS, NV 89032-6109
(702) 302-3430
Mailing address
4127 NEIGHBORLY CT, N LAS VEGAS, NV 89032-6109
(702) 302-3430

Taxonomy

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

Other

Enumeration date
03/03/2012
Last updated
03/03/2012
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