Individual
BRYAN CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1511 S CASINO CENTER BLVD APT 410, LAS VEGAS, NV 89104-1109
(702) 743-3999
Mailing address
430 S RAMPART BLVD STE 390, LAS VEGAS, NV 89145-5734
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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