Individual
MR. GARY LEWIS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9322 DORRELL LN, 9322 DORRELL LANE, LAS VEGAS, NV 89149-0172
(702) 267-0450
(702) 272-0408
Mailing address
9322 DORRELL LN, 9322 DORRELL LANE, LAS VEGAS, NV 89149-0172
(702) 267-0450
(702) 272-0408
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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