RICHARD FAIRCLOTH

NORTH LAS VEGAS, NV
NPI1538572318
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2014-06-09
Last Update Date2014-06-09
Business Address
-- RICHARD FAIRCLOTH
636 POANA AVE
NORTH LAS VEGAS, NV 89032-7694
Phone number: 702-517-1124
Mailing Address
-- RICHARD FAIRCLOTH
636 POANA AVE
NORTH LAS VEGAS, NV 89032-7694
Phone number: 702-517-1124