Individual
REGINALD CHARLES EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6109 HEATHER MIST LN, LAS VEGAS, NV 89108-4232
(702) 488-5284
Mailing address
6109 HEATHER MIST LN, LAS VEGAS, NV 89108-4232
(702) 488-5284
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
05/17/2013
Last updated
05/17/2013
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