Individual
DARRYL LAMONT SIMMONS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
670 S MARTIN LUTHER KING BLVD, LAS VEGAS, NV 89106-4403
(702) 203-1762
Mailing address
670 S MARTIN LUTHER KING BLVD, LAS VEGAS, NV 89106-4403
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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