Individual
MR. DEMARCO DURRELL VIRGIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5309 KRISTA ALETHEA ST, NORTH LAS VEGAS, NV 89031-7811
(702) 477-5352
Mailing address
4050 PACIFIC HARBORS DR UNIT 248, LAS VEGAS, NV 89121-4144
(702) 477-5352
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
05/23/2011
Last updated
07/21/2022
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