Individual
ELISHEVA MIRA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4531 ALPINE PL, LAS VEGAS, NV 89107-4236
(702) 406-4323
Mailing address
4531 ALPINE PL, LAS VEGAS, NV 89107-4236
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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