Individual
MS. SUMMER D RIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 LOLA AVE, NORTH LAS VEGAS, NV 89030-5650
(702) 528-4247
(702) 476-1194
Mailing address
PO BOX 364121, NORTH LAS VEGAS, NV 89036-8121
(702) 528-4247
(702) 476-1194
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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