Individual
JOSHUA WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2617 CATHEDRAL LN, LAS VEGAS, NV 89108-4448
(702) 713-8297
Mailing address
2617 CATHEDRAL LN, LAS VEGAS, NV 89108-4448
(702) 713-8297
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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