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Enobong Peter

NPI 1629217310 · on the registry since 2009 · sole proprietor

Practice

Address
3300 S Jones Blvd
Suite 102
Las Vegas, NV 89146
Phone
(702) 452-0808
Organisation at this address
Destiny Medical Supply
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
332B00000X
332B00000X
Sex
Female
Record last updated
2009-06-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada