Individual
CHESTER GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2205 SPANISH TOWN AVE, NORTH LAS VEGAS, NV 89031-0903
(702) 658-9564
Mailing address
2205 SPANISH TOWN AVE, NORTH LAS VEGAS, NV 89031-0903
(702) 658-9564
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/07/2011
Last updated
11/07/2011
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