Individual
SKYLAR SIMONE FORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9811 W CHARLESTON BLVD STE 2-641, LAS VEGAS, NV 89117-7528
(855) 864-4322
Mailing address
11507 KAY LN, PEARLAND, TX 77584-7272
(903) 402-9136
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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