Individual
DE'JANEIRO XAVIER BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
804 MAJESTIC ROCK CIR, LAS VEGAS, NV 89128-0615
(702) 917-1750
Mailing address
804 MAJESTIC ROCK CIR, LAS VEGAS, NV 89128-0615
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
01/30/2013
Last updated
01/30/2013
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