Individual
MISS CHARLOTTE YVONNE FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
683 MARINA DR UNIT 48, BOULDER CITY, NV 89005-1049
(702) 321-6677
Mailing address
PO BOX 32082, LAS VEGAS, NV 89173-2082
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
NV
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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