Individual
REGGIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4278 CARTEGENA WAY, LAS VEGAS, NV 89121-6504
(702) 433-6468
Mailing address
4278 CARTEGENA WAY, LAS VEGAS, NV 89121-6504
(702) 283-0675
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
12/21/2010
Last updated
01/28/2013
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