Individual
MS. KATHERINE MARIE FOGLEBOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 N RANCHO DR, LAS VEGAS, NV 89106-3797
(702) 486-9905
Mailing address
6725 KITTERY DR, LAS VEGAS, NV 89107-2457
(702) 339-8471
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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