ANGELINA FAWN JOHNNY

LAS VEGAS, NV
NPI1619383387
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171W00000X Contractor
Additional Taxonomies225400000X Rehabilitation Practitioner
Enumeration Date2014-07-02
Last Update Date2022-11-17
Business Address
Ms. ANGELINA FAWN JOHNNY
6889 SOUTH EASTERN AVENUE
LAS VEGAS, NV 89119
Phone number: 702-434-1200
Mailing Address
Ms. ANGELINA FAWN JOHNNY
8367 EMBRY HILLS ST
LAS VEGAS, NV 89113-4602
Phone number: 725-260-5108