Derek Beau Bouvier
Derek Beau Bouvier is a Student in an Organized Health Care Education/Training Program in Las Vegas, Nevada. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1001 Shadow LnLas Vegas, NV 89106-4124
Phone: (702) 774-2545
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1649962689 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 25, 2023 |
| Last updated in NPPES | May 25, 2023 |
| Certification date | May 25, 2023 |
| Mailing address | 1001 Shadow Ln, Las Vegas, NV 89106-4124 |
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