Individual
DEVON LEVON WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5175 CAMINO AL NORTE, SUITE 100, NORTH LAS VEGAS, NV 89031-2407
(702) 648-3913
Mailing address
PO BOX 365463, NORTH LAS VEGAS, NV 89036-9463
(702) 741-4952
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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