Individual
HORNELL HEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PROSTHETIST
Contact information
Practice address
2780 S JONES BLVD STE 140, LAS VEGAS, NV 89146-5641
(800) 736-8276
(469) 844-2072
Mailing address
1120 SAFFEX ROSE AVE, HENDERSON, NV 89052-8720
(775) 232-8093
(469) 844-2072
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CPO04014
ABC CERTIFICATE
DE
Enumeration date
10/14/2021
Last updated
10/14/2021
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