Individual
MAURICE DEVON ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6529 OUIDA WAY, LAS VEGAS, NV 89108-5524
(702) 586-8139
Mailing address
6529 OUIDA WAY, LAS VEGAS, NV 89108-5524
(702) 586-8139
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2102688290
NV
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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