Individual
DEMI LYNN BOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 LAMOILLE HWY STE 103, ELKO, NV 89801-4397
(775) 777-1292
Mailing address
219 SAGE GLEN DR, SPRING CREEK, NV 89815-5738
(775) 397-0586
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT1349
NV
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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