TERRY MACK

LAS VEGAS, NV
NPI1891098836
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2010-12-14
Last Update Date2010-12-14
Business Address
-- TERRY MACK
7381 PRAIRIE FALCON RD
LAS VEGAS, NV 89128-0811
Phone number: 702-646-5437
Mailing Address
-- TERRY MACK
7381 PRAIRIE FALCON RD
LAS VEGAS, NV 89128-0811
Phone number: 702-646-5437