SPENCER GREEN

LAS VEGAS, NV
NPI1710289103
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2010-11-17
Last Update Date2011-01-05
Business Address
Mr. SPENCER GREEN
7381 PRAIRIE FALCON RD
LAS VEGAS, NV 89128-0811
Phone number: 702-646-5437
Mailing Address
Mr. SPENCER GREEN
7381 PRAIRIE FALCON RD STE 110
LAS VEGAS, NV 89128-0812
Phone number: 702-646-5437
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