Individual
AVION JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4760 S PECOS RD STE 203-1, LAS VEGAS, NV 89121-6038
(702) 966-6306
Mailing address
4760 S PECOS RD STE 203-1, LAS VEGAS, NV 89121-6038
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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