ANTWAHN MACK TAYLOR

HENDERSON, NV
NPI1558910562
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2019-09-11
Last Update Date2019-09-11
Business Address
ANTWAHN MACK TAYLOR
1644 RAVANUSA DR
HENDERSON, NV 89052-4071
Phone number: 702-672-9117
Mailing Address
ANTWAHN MACK TAYLOR
1644 RAVANUSA DR
HENDERSON, NV 89052-4071
Phone number: 702-672-9117
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