Individual
KEVIN VILLAREALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9811 W CHARLESTON BLVD # 2-641, LAS VEGAS, NV 89117-7528
(855) 864-4322
Mailing address
2210 MIAMI ST APT 3, SOUTH BEND, IN 46613-2939
(716) 536-0875
Taxonomy
Speciality
Code
Description
License number
State
2472E0500X
EEG Technician
Primary
—
—
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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