Individual
GERNARD WOFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
675 E AZURE AVE, APT 2046, NORTH LAS VEGAS, NV 89081-6886
(702) 416-5024
Mailing address
675 E AZURE AVE, APT 2046, NORTH LAS VEGAS, NV 89081-6886
(702) 416-5024
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
1402901858
NV
Other
Enumeration date
06/25/2013
Last updated
06/25/2013
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