Individual
LISA WOOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
9499 W CHARLESTON BLVD STE 200, LAS VEGAS, NV 89117-7147
(702) 933-9393
Mailing address
9499 W CHARLESTON BLVD STE 200, LAS VEGAS, NV 89117-7147
(702) 933-9393
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
150277
NV
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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