Individual
DANIEL MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5301 BROMLEY AVE, LAS VEGAS, NV 89107-1724
(702) 608-0042
Mailing address
5301 BROMLEY AVE, LAS VEGAS, NV 89107-1724
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
04/26/2012
Last updated
04/06/2023
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