Most Relevant Information
Provider Data
| NPI Number: | 1003460585 |
| Provider Name: | GERALDINE SHEPPARD DAY |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/01/2019 |
| Last Updated: | 08/01/2019 |
Provider Practice Location
3175 S EASTERN AVE
LAS VEGAS
NV
891693308
Practice Location Phone/Fax
| Phone: | 7023205222 |
| Fax: |
Provider Mailing Location
3175 S EASTERN AVE
LAS VEGAS
NV
891693308
Provider Mailing Phone/Fax
| Phone: | 7023205222 |
| Fax: |