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Search › Nevada › 3747P1801X

Dominic Sturdivant

NPI 1134761406 · on the registry since 2019 · sole proprietor

Practice

Address
4017 Fabulous Finches Ave
North Las Vegas, NV 89084
Phone
(702) 384-2273
Organisation at this address
Caren Homes
Hellena Walker
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
3747P1801X
3747P1801X
Also registered as
103TH0100X
103TH0100X
3747P1801X
Licence states on file
NV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-10-08

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