Individual
MR. STEPHONE REVELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5316 SUMMER TROUT ST, N LAS VEGAS, NV 89031-6616
(702) 296-9458
Mailing address
5316 SUMMER TROUT ST, N LAS VEGAS, NV 89031-6616
(702) 296-9458
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/24/2010
Last updated
11/24/2010
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