SearchNevada101YM0800X

Raven Fogg

NPI 1700287455 · on the registry since 2014

Practice

Address
10620 W Alexander Rd
124
Las Vegas, NV 89129
Phone
(702) 331-3818
Clinicians at this address
3

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Female
Record last updated
2014-09-12

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