Individual
MRS. BONITA FIELDS-FAHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6491 BOBCAT RIDGE AVE, LAS VEGAS, NV 89122-3612
(414) 588-9195
Mailing address
6491 BOBCAT RIDGE AVE, LAS VEGAS, NV 89122-3612
(414) 588-9195
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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