Simounette Bomely
Rehabilitation Practitioner in Las Vegas, NV. Individual provider (NPI-1).
NPI number1750765855
StatusActive
Last updated in NPPESJul 17, 2015
Details
- NPI
- 1750765855
- Entity type
- Individual (NPI-1)
- Name
- Simounette Bomely
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2015
- Last updated
- Jul 17, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
Practice location
2770 S Maryland PkwySuite 211
Las Vegas, NV 89109-1554
Phone 702-675-3400
Mailing address
2770 S Maryland PkwySuite 211
Las Vegas, NV 89109-1554
Phone 702-675-3400
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