Most Relevant Information
Provider Data
| NPI Number: | 1003317348 |
| Provider Name: | SOERATMIE TJALIM-BUSCEMA |
| Entity Type: | Individual |
| Taxonomy Code: | 372500000X |
| Specialty: | Chore Provider |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/22/2018 |
| Last Updated: | 02/22/2018 |
Provider Practice Location
8016 CIMARRON RIDGE DR
LAS VEGAS
NV
891281984
Practice Location Phone/Fax
| Phone: | 7023407864 |
| Fax: |
Provider Mailing Location
7320 SMOKE RANCH RD
LAS VEGAS
NV
891281800
Provider Mailing Phone/Fax
| Phone: | 7023800600 |
| Fax: |