Individual
MR. ROGER E.T. WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2821 WHITE PEAKS AVE, N LAS VEGAS, NV 89081-2437
(901) 653-6410
Mailing address
2821 WHITE PEAKS AVE, N LAS VEGAS, NV 89081-2437
(901) 653-6410
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
01/06/2011
Last updated
01/06/2011
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