Individual
MR. SKYLAR INGALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
480 W BONANZA RD, LAS VEGAS, NV 89106-3227
(425) 737-4883
Mailing address
480 W BONANZA RD, LAS VEGAS, NV 89106-3227
(425) 737-4883
Taxonomy
Speciality
Code
Description
License number
State
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
02/20/2015
Last updated
02/20/2015
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