Individual
JOSE RENATO CORTEZ BEZERRA FILHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9116 CANOGA CANYON CT UNIT 103, LAS VEGAS, NV 89149-2958
(641) 954-2333
Mailing address
9116 CANOGA CANYON CT UNIT 103, LAS VEGAS, NV 89149-2958
(641) 954-2333
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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