Individual
MR. RONALD JEROME CHILDRESS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
907 BIG DELTA CT, HENDERSON, NV 89014-0338
(702) 281-9537
Mailing address
907 BIG DELTA COURT, HENDERSON, NV 89014-0338
(702) 281-9537
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/19/2010
Last updated
09/19/2010
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