Individual
HEATHER ANN BAKKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2625 E SAINT LOUIS AVE, LAS VEGAS, NV 89104-4200
(702) 799-1500
Mailing address
8000 SPRING MOUNTAIN RD, APT 2109, LAS VEGAS, NV 89117-3908
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
5394
NV
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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