Individual
BONNIE D WILLIAMS-BORGELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1951 STELLA LAKE ST STE 36, LAS VEGAS, NV 89106-2144
(702) 713-7734
Mailing address
1951 STELLA LAKE ST STE 36, LAS VEGAS, NV 89106-2144
(702) 713-7734
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000267354
DRIVERS LICENSE
NV
Enumeration date
08/09/2021
Last updated
08/09/2021
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