Erin Boles

NPI #1003432873 in Las Vegas, Nevada

Provider Information

NPI Number: 1003432873
Entity Type: Individual
Name: Erin Boles
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician
Enumeration Date: Jun 17, 2020
Last Updated: Jun 17, 2020

Practice Location

Address: 1600 E DESERT INN RD
City: Las Vegas
State: Nevada
ZIP Code: 89169-2525
Phone: (702) 208-2194

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X
Technician	374700000X	Primary

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