Individual
MISS JESSICA MERYL BUNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
4160 S PECOS RD, SUITE 17, LAS VEGAS, NV 89121-5025
(702) 396-3464
Mailing address
1366 MOLLY DR., CARSON CITY, NV 89706
(775) 691-5111
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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