MISS Anisa Lashawn Bolling

NPI #1164796447 in N Las Vegas, Nevada

Provider Information

NPI Number
1164796447
Entity Type
Individual
Name
MISS Anisa Lashawn Bolling
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community/Behavioral Health
Enumeration Date
Mar 3, 2012
Last Updated
Mar 3, 2012

Practice Location

Address
4127 NEIGHBORLY CT
State
Nevada
ZIP Code
89032-6109
Phone
(702) 302-3430

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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