Individual
REINA BAUTA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MEDICAL MASSAGE LMT
Contact information
Practice address
133 W LAKE MEAD PKWY STE 140, HENDERSON, NV 89015-7071
(702) 640-7158
Mailing address
133 W LAKE MEAD PKWY STE 140, HENDERSON, NV 89015-7071
(702) 640-7158
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
NVMT.8237
NV
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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