Individual
JODIE SIPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7281 W CHARLESTON BLVD, LAS VEGAS, NV 89117-1592
(702) 870-7050
Mailing address
7281 W CHARLESTON BLVD, LAS VEGAS, NV 89117-1592
(702) 677-3576
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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