Provider Demographics
NPI:1467705301
Name:BELL, //DARRYL LYNN
Entity Type:Individual
Prefix:MS
First Name://DARRYL
Middle Name:LYNN
Last Name:BELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5070 HARRISON DR
Mailing Address - Street 2:116
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-1096
Mailing Address - Country:US
Mailing Address - Phone:702-834-3961
Mailing Address - Fax:
Practice Address - Street 1:5070 HARRISON DR
Practice Address - Street 2:116
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-1096
Practice Address - Country:US
Practice Address - Phone:702-834-3961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-16
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver