Individual
MASON STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2035 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2223
(702) 386-7980
Mailing address
9550 W SAHARA AVE, APT 1088, LAS VEGAS, NV 89117-5373
(575) 654-9073
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
13-1182
NV
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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