Individual
RYAN HOWARD WICKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4160 PECOS SUITE 17, LAS VEGAS, NV 89121
(702) 396-3464
(702) 396-6164
Mailing address
4160 PECOS SUITE 17, LAS VEGAS, NV 89121
(702) 396-3464
(702) 396-6164
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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