WILLIE LEE NORTHERN

LAS VEGAS, NV
NPI1750715819
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2013-08-26
Last Update Date2013-08-26
Business Address
-- WILLIE LEE NORTHERN
401 N BUFFALO DR STE 202
LAS VEGAS, NV 89145-0397
Phone number: 702-527-7661
Mailing Address
-- WILLIE LEE NORTHERN
401 N BUFFALO DR STE 202
LAS VEGAS, NV 89145-0397
Phone number: 702-527-7661