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
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