Individual
DAMIAN ETHEREDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3644 S FORT APACHE RD, UNIT 1061, LAS VEGAS, NV 89147-3409
(702) 953-2417
Mailing address
3644 S FORT APACHE RD, UNIT 1061, LAS VEGAS, NV 89147-3409
(702) 953-2417
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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