Individual
BICH THU BUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
DIVINE HEALTH PRODUCTS, 6130 ELTON AVENUE, LAS VEGAS, NV 89107-1189
(702) 216-0332
(702) 216-0333
Mailing address
DIVINE HEALTH PRODUCTS, 6130 ELTON AVENUE, LAS VEGAS, NV 89107-1189
(702) 216-0332
(702) 216-0333
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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