ALFRED THOMAS DEVAULT

LAS VEGAS, NV
NPI1548566045
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2011-01-31
Last Update Date2011-01-31
Business Address
MR. ALFRED THOMAS DEVAULT
4571 DOPO CT
LAS VEGAS, NV 89135-2542
Phone number: 702-363-2571
Mailing Address
MR. ALFRED THOMAS DEVAULT
4571 DOPO CT
LAS VEGAS, NV 89135-2542
Phone number: 702-363-2571