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Individual

RODERICK ANTHONY ADAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
450 E TWAIN AVE, 92, LAS VEGAS, NV 89169-4904
(702) 378-7785
Mailing address
450 E TWAIN AVE, 92, LAS VEGAS, NV 89169-4904
(702) 378-7785

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
172V00000X
Community Health Worker
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
10/11/2011
Last updated
10/18/2011
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