WILLIE BERTRAM MCCONICO

NORTH LAS VEGAS, NV
NPI1669779849
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2011-02-23
Last Update Date2011-02-23
Business Address
-- WILLIE BERTRAM MCCONICO
208 GEMSTONE HILL AVE
NORTH LAS VEGAS, NV 89031-6861
Phone number: 702-636-4186
Mailing Address
-- WILLIE BERTRAM MCCONICO
208 GEMSTONE HILL AVE
NORTH LAS VEGAS, NV 89031-6861
Phone number: 702-636-4186