Individual
AVERY HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7105 FLOWERRIDGE LN, LAS VEGAS, NV 89129-6534
(702) 524-9873
Mailing address
7105 FLOWERRIDGE LN, LAS VEGAS, NV 89129-6534
(702) 524-9873
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/14/2014
Last updated
02/14/2014
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