Individual
RUSSELL KAYAH NAMANNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
768 CATHY LN, HENDERSON, NV 89015-7591
(702) 576-6801
Mailing address
768 CATHY LN, HENDERSON, NV 89015-7591
(702) 576-6801
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/22/2011
Last updated
03/22/2011
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