EDMUNDO VILLANUEVA MASCARDO

LAS VEGAS, NV
NPI1407244742
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2015-01-08
Last Update Date2015-01-08
Business Address
-- EDMUNDO VILLANUEVA MASCARDO
6889 S. EASTERN AVE.
LAS VEGAS, NV 89119
Phone number: 702-434-1200
Mailing Address
-- EDMUNDO VILLANUEVA MASCARDO
6430 BUTTERCUP CREEK ST
NORTH LAS VEGAS, NV 89084-1242
Phone number: