JUSTIN ROLAND BAUTISTA

LAS VEGAS, NV
NPI1760802342
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2014-04-22
Last Update Date2014-04-22
Business Address
-- JUSTIN ROLAND BAUTISTA
2770 S MARYLAND PKWY SUITE 211
LAS VEGAS, NV 89109-1554
Phone number: 702-675-3400
Mailing Address
-- JUSTIN ROLAND BAUTISTA
2770 S MARYLAND PKWY SUITE 211
LAS VEGAS, NV 89109-1554
Phone number: