Individual
JOHN HEADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
323 N MARYLAND PKWY, LAS VEGAS, NV 89101-3130
(702) 385-3330
Mailing address
323 N MARYLAND PKWY, LAS VEGAS, NV 89101-3130
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/10/2017
Last updated
08/10/2017
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