Individual
BRYAN TERELL ROLAND JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4017 FABULOUS FINCHES AVE, NORTH LAS VEGAS, NV 89084-4808
(702) 384-2273
Mailing address
6143 PASSIONATE CT, NORTH LAS VEGAS, NV 89031-3538
(702) 351-6391
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
1404530081
NV
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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