Most Relevant Information
Provider Data
| NPI Number: | 1003432873 |
| Provider Name: | ERIN BOLES |
| Entity Type: | Individual |
| Taxonomy Code: | 172A00000X |
| Specialty: | Driver |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/17/2020 |
| Last Updated: | 06/17/2020 |
Provider Practice Location
1600 E DESERT INN RD
LAS VEGAS
NV
891692525
Practice Location Phone/Fax
| Phone: | 7022082194 |
| Fax: | 7022082208 |
Provider Mailing Location
1600 E DESERT INN RD STE 104
LAS VEGAS
NV
891692505
Provider Mailing Phone/Fax
| Phone: | 7022082194 |
| Fax: | 7022082208 |