Individual
MR. HENRY SYLVESTER EBRON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2110 LOS FELIZ ST, 2083, LAS VEGAS, NV 89156
(702) 420-5323
Mailing address
2110 LOS FELIZ ST, 2083, LAS VEGAS, NV 89156
(702) 420-5323
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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