Individual
OBY CHIMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4080 E LAKE MEAD BLVD STE B-111, LAS VEGAS, NV 89115-6466
(702) 629-8226
Mailing address
4080 E LAKE MEAD BLVD STE B-111, LAS VEGAS, NV 89115-6466
(702) 629-8226
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6264612109
—
NV
Enumeration date
02/07/2022
Last updated
02/07/2022
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