Individual
HOLLY WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9285 SHELLMONT CT, LAS VEGAS, NV 89148-3839
(702) 499-4536
Mailing address
3155 E PATRICK LN STE 1, LAS VEGAS, NV 89120-3481
(702) 992-0576
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
NV
Other
Enumeration date
11/01/2023
Last updated
02/21/2024
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