LONG LA

LAS VEGAS, NV
NPI1538544689
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2015-07-29
Last Update Date2015-07-29
Business Address
-- LONG LA
5000 RED ROCK ST APT 266
LAS VEGAS, NV 89118-1283
Phone number: 702-929-8800
Mailing Address
-- LONG LA
5000 RED ROCK ST APT 266
LAS VEGAS, NV 89118-1283
Phone number:
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