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Individual

ROBERTO JOSE MEDINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
8678 SPRING MOUNTAIN RD STE 110, LAS VEGAS, NV 89117-4103
(702) 644-3333
(702) 644-3336
Mailing address
8678 SPRING MOUNTAIN RD STE 110, LAS VEGAS, NV 89117-4103
(702) 644-3333
(702) 644-3336

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
B01794
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
B01794
CHIROPRACTIC PHYSICIANS BOARD OF NEVADA
NV
Enumeration date
10/16/2019
Last updated
11/27/2023
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