Individual
ROMEL CLARK HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5160 TAMARUS ST APT 11, LAS VEGAS, NV 89119-1966
(312) 671-2582
Mailing address
5160 TAMARUS ST APT 11, LAS VEGAS, NV 89119-1966
(312) 671-2582
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2106484409
—
NV
Enumeration date
04/07/2020
Last updated
04/07/2020
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