TERRY RUSSELL

LAS VEGAS, NV
NPI1801405113
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2020-07-23
Last Update Date2020-07-23
Business Address
TERRY RUSSELL
4285 N RANCHO DR STE 160
LAS VEGAS, NV 89130-3456
Phone number: 702-835-1911
Mailing Address
TERRY RUSSELL
4285 N RANCHO DR STE 160
LAS VEGAS, NV 89130-3456
Phone number: 702-835-1911