BRODERIC D IVERY

NORTH LAS VEGAS, NV
NPI1972844553
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2013-03-07
Last Update Date2013-03-07
Business Address
MR. BRODERIC D IVERY
1915 ONA MARIE AVE
NORTH LAS VEGAS, NV 89032-4866
Phone number: 702-812-4973
Mailing Address
MR. BRODERIC D IVERY
1915 ONA MARIE AVE
NORTH LAS VEGAS, NV 89032-4866
Phone number: 702-812-4973