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Individual

CHRISTOPHER LEE WOMACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3131 W CRAIG RD, NORTH LAS VEGAS, NV 89032-0779
(702) 623-5734
Mailing address
6417 TRAUTMAN CT, LAS VEGAS, NV 89149-4750
(501) 606-1172

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
10/31/2018
Last updated
10/31/2018
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