Individual
RONALD EDWARD BENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6428 BRISTLEBIRD ST, NORTH LAS VEGAS, NV 89084-2231
(951) 312-3589
Mailing address
6428 BRISTLEBIRD ST, NORTH LAS VEGAS, NV 89084-2231
(951) 312-3589
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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