Individual
MS. KAMILAH AKILAH BYWATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
608 HOLLAND AVE, LAS VEGAS, NV 89106-2647
(702) 219-6635
Mailing address
608 HOLLAND AVE, LAS VEGAS, NV 89106-2647
(702) 219-6635
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
270739890
NV
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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