JUAN CARLOS FAVELA

LAS VEGAS, NV
NPI1962788828
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2011-10-24
Last Update Date2011-10-24
Business Address
-- JUAN CARLOS FAVELA
2915 CEDAR AVE APT 1 -C
LAS VEGAS, NV 89101-3832
Phone number: 702-346-0726
Mailing Address
-- JUAN CARLOS FAVELA
2915 CEDAR AVE APT 1 -C
LAS VEGAS, NV 89101-3832
Phone number: 702-346-0726