Individual
MISS SARA NICOLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2716 BEAVER CREEK CT, #102, LAS VEGAS, NV 89117-1763
(702) 910-0839
Mailing address
2716 BEAVER CREEK CT, #102, LAS VEGAS, NV 89117-1763
(702) 910-0839
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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