Individual
STEPHEN PEDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HIGH SCHOOL DIPLOMA
Contact information
Practice address
4417 SANTA CLARITA AVE, LAS VEGAS, NV 89115-6003
(702) 420-5569
(702) 943-0233
Mailing address
4417 SANTA CLARITA AVE, LAS VEGAS, NV 89115
(702) 420-5569
(702) 943-0233
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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