Individual
JOHN MAXWELL ISENHOUR-BURLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 E BASIN AVE STE 303, PAHRUMP, NV 89060-4612
(775) 537-8898
Mailing address
3400 RODEO AVE, PAHRUMP, NV 89048-7045
(775) 513-4433
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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