Individual
ANTHONY MARKELL STATEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6225 DARA ST, NORTH LAS VEGAS, NV 89081-6563
(702) 750-7988
Mailing address
6225 DARA ST, NORTH LAS VEGAS, NV 89081-6563
(702) 750-7988
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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