ROGER WILBUR DOUGLAS

LAS VEGAS, NV
NPI1891055307
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NV  08-1005)
Enumeration Date2012-05-18
Last Update Date2012-05-18
Business Address
-- ROGER WILBUR DOUGLAS COTA
3353 MENDOCINO FOREST ST
LAS VEGAS, NV 89122-3576
Phone number: 702-606-8286
Mailing Address
-- ROGER WILBUR DOUGLAS COTA
3353 MENDOCINO FOREST ST
LAS VEGAS, NV 89122-3576
Phone number: 702-606-8286