Individual
MR. ANTHONY JOHN HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.C., C.S.C.S.
Contact information
Practice address
4505 MARYLAND PARKWAY, LAS VEGAS, NV 89154-3034
(702) 895-3419
Mailing address
3241 KEY LARGO DR APT 103, LAS VEGAS, NV 89120-5306
(412) 720-6478
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0506119
NV
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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