BEATRICE LEE GODBOULDT

LAS VEGAS, NV
NPI1457406241
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NV  PA1710)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: CA  PA12936)
363A00000X Physician Assistant
(Licence: CA  PA12936)
Enumeration Date2007-01-24
Last Update Date2017-03-17
Business Address
Ms. BEATRICE LEE GODBOULDT PA-C
821 N NELLIS BLVD
LAS VEGAS, NV 89110-5339
Phone number: 702-438-4003
Mailing Address
Ms. BEATRICE LEE GODBOULDT PA-C
PO BOX 98978
LAS VEGAS, NV 89193-8978
Phone number: 702-216-3346