Individual
GREGORY BERNARD AMERSON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MEDICAID PROVIDER
Contact information
Practice address
4104 CAROL BAILEY AVE, NORTH LAS VEGAS, NV 89081-6809
(702) 503-5109
(702) 503-5109
Mailing address
4104 CAROL BAILEY AVE, NORTH LAS VEGAS, NV 89081-6809
(702) 503-5109
(702) 503-5109
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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