Individual
ELLA RENE JOHNSON-WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 GATEWOOD DR, LAS VEGAS, NV 89108-2518
(702) 647-4735
Mailing address
1720 GATEWOOD DR, LAS VEGAS, NV 89108-2518
(702) 647-4735
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
01/26/2013
Last updated
01/09/2023
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