SUJATA MOHANTY

LAS VEGAS, NV
NPI1710634654
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy222Z00000X Orthotist
Enumeration Date2022-03-09
Last Update Date2022-03-09
Business Address
SUJATA MOHANTY BOCO
400 SHADOW LN STE 110
LAS VEGAS, NV 89106-4355
Phone number: 702-800-6520
Mailing Address
SUJATA MOHANTY BOCO
400 SHADOW LN STE 110
LAS VEGAS, NV 89106-4355
Phone number: 702-800-6520