Individual
ALONZO DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3120 MANTI PEAK AVE, NORTH LAS VEGAS, NV 89081-6549
(702) 528-2830
Mailing address
3120 MANTI PEAK AVE, NORTH LAS VEGAS, NV 89081-6549
(702) 528-2830
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/06/2011
Last updated
06/06/2011
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