Organization
DESTINATION LAS VEGAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ATKINS (BOOKKEEPER)
(702) 949-8379
Entity
Organization
Contact information
Practice address
3950 W TOMPKINS AVE, LAS VEGAS, NV 89103-5524
(702) 949-5379
Mailing address
3950 W TOMPKINS AVE, LAS VEGAS, NV 89103-5524
(702) 949-5379
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
—
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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