Individual
ILIMA SAM FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4425 S JONES BLVD, SUITE D-3, LAS VEGAS, NV 89103-3370
(702) 991-3150
(702) 227-3915
Mailing address
4425 S JONES BLVD, SUITE D-3, LAS VEGAS, NV 89103-3370
(702) 991-3150
(702) 227-3915
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/12/2017
Last updated
03/12/2017
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