Most Relevant Information
Provider Data
| NPI Number: | 1003429127 |
| Provider Name: | MYKALLA HOPE FIELDING |
| Entity Type: | Individual |
| Taxonomy Code: | 225400000X |
| Specialty: | Rehabilitation Practitioner |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/28/2020 |
| Last Updated: | 08/28/2020 |
Provider Practice Location
4055 SPENCER ST STE 118
LAS VEGAS
NV
891195250
Practice Location Phone/Fax
| Phone: | 7027999710 |
| Fax: |
Provider Mailing Location
2675 S NELLIS BLVD APT 2165
LAS VEGAS
NV
891212077
Provider Mailing Phone/Fax
| Phone: | 3238216110 |
| Fax: |