BUNLERT ELIZABETH KHAMPHAMODENE

LAS VEGAS, NV
NPI1154619476
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2011-07-20
Last Update Date2011-07-20
Business Address
-- BUNLERT ELIZABETH KHAMPHAMODENE
2235 CAPISTRANO AVE
LAS VEGAS, NV 89169-1801
Phone number: 702-490-1837
Mailing Address
-- BUNLERT ELIZABETH KHAMPHAMODENE
2235 CAPISTRANO AVE
LAS VEGAS, NV 89169-1801
Phone number: 702-490-1837
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