Individual
DEBRA PRINCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4616 DENALI AVE, NORTH LAS VEGAS, NV 89032-2853
(702) 255-8868
Mailing address
4616 DENALI AVE, NORTH LAS VEGAS, NV 89032-2853
(702) 255-8868
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A0395
NV
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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