Individual
MR. COREY RAMON GAITHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10597 HINESVILLE CT, LAS VEGAS, NV 89129-6466
(702) 518-9152
(702) 534-4956
Mailing address
10597 HINESVILLE CT, LAS VEGAS, NV 89129-6466
(702) 518-9152
(702) 534-4956
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
0000008413
NV
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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