Individual
REGINALD KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2736 COLUMBIA CT, NORTH LAS VEGAS, NV 89030-4644
(404) 910-9097
Mailing address
2736 COLUMBIA CT, NORTH LAS VEGAS, NV 89030-4644
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
04/11/2022
Last updated
04/26/2022
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