Individual
LEATRICE EWING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3915 W HAMMER LN, NORTH LAS VEGAS, NV 89031-4161
(702) 366-3039
Mailing address
3915 W HAMMER LN, NORTH LAS VEGAS, NV 89031-4161
(702) 366-3039
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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