Individual
KENNETH MESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6649 PEPPERIDGE WAY, LAS VEGAS, NV 89108-5366
(702) 772-9505
Mailing address
6649 PEPPERIDGE WAY, LAS VEGAS, NV 89108-5366
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12-1140
NV
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
About Stedi
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