Individual
MR. RHYASIN JOHN ROEBUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6917 WINE RIVER DR, LAS VEGAS, NV 89119-4646
(520) 275-6929
Mailing address
6917 WINE RIVER DR, LAS VEGAS, NV 89119-4646
(520) 275-6929
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
D07695873
AZ
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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