Individual
BREAUNA C. TROTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 ROSSMOYNE AVE, NORTH LAS VEGAS, NV 89030-8614
(702) 591-1231
Mailing address
501 ROSSMOYNE AVE, NORTH LAS VEGAS, NV 89030-8614
(702) 591-1231
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1401710699
NV
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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