Individual
JENNIFER BOLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6889 S EASTERN AVE, LAS VEGAS, NV 89119-4687
(702) 434-1200
Mailing address
9386 CORAL BERRY ST, LAS VEGAS, NV 89123-5831
(702) 858-7405
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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