Individual
NATALIE CHRISTINE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
670 BOURBON ST UNIT 5, PAHRUMP, NV 89048-6175
(775) 910-0547
Mailing address
670 BOURBON ST UNIT 5, PAHRUMP, NV 89048-6175
(775) 910-0547
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000446825
—
NV
Enumeration date
08/31/2019
Last updated
08/31/2019
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