WILLIE DWAYNE ANDERSON

LAS VEGAS, NV
NPI1649574559
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2011-01-06
Last Update Date2011-01-06
Business Address
-- WILLIE DWAYNE ANDERSON
7381 PRAIRIE FALCON RD
LAS VEGAS, NV 89128-0811
Phone number: 702-646-5437
Mailing Address
-- WILLIE DWAYNE ANDERSON
7381 PRAIRIE FALCON RD
LAS VEGAS, NV 89128-0811
Phone number: 702-646-5437
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