Individual
MR. FREDRICK DEVOR CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3047 E WARM SPRINGS RD BLDG 2, LAS VEGAS, NV 89120-3760
(702) 985-3286
Mailing address
3047 E WARM SPRINGS RD BLDG 2, LAS VEGAS, NV 89120-3760
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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