Individual
DEANDRE LAMONT SUMMLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1525 PINTO LN, APT 39, LAS VEGAS, NV 89106-4104
(702) 981-0701
Mailing address
1525 PINTO LN, APT 39, LAS VEGAS, NV 89106-4104
(702) 981-0701
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
12/28/2012
Last updated
04/10/2013
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