BODEN JAMES PORT

LAS VEGAS, NV
NPI1003519919
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-03-22
Last Update Date2023-03-22
Business Address
BODEN JAMES PORT DO
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102-2329
Phone number: 702-383-2000
Mailing Address
BODEN JAMES PORT DO
725 SETTLERS POND WAY
KNOXVILLE, TN 37923-6398
Phone number: 208-206-9834