Most Relevant Information
Provider Data
| NPI Number: | 1003183500 |
| Provider Name: | GAIL BULOSAN |
| Entity Type: | Individual |
| Taxonomy Code: | 225400000X |
| Specialty: | Rehabilitation Practitioner |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/28/2011 |
| Last Updated: | 11/28/2011 |
Provider Practice Location
8667 MORENO MOUNTAIN AVE
LAS VEGAS
NV
891787500
Practice Location Phone/Fax
| Phone: | 7026170107 |
| Fax: |
Provider Mailing Location
8667 MORENO MOUNTAIN AVE
LAS VEGAS
NV
891787500
Provider Mailing Phone/Fax
| Phone: | 7026170107 |
| Fax: |