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Individual

PRINCE POLLARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3365 WEST CRAIG ROAD SUITE 9, LAS VEGAS, NV 89031
(775) 357-2623
Mailing address
1325 AIRMOTIVE WAY STE 205, RENO, NV 89502-3240
(928) 529-8197

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1404750365
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1404750365
NV
Enumeration date
03/07/2017
Last updated
03/07/2017
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