Individual
WILLIE SO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1263 E SILVERADO RANCH BLVD STE 105A, LAS VEGAS, NV 89183-5946
(702) 389-5009
Mailing address
10725 ACKERS DR, HENDERSON, NV 89052-8696
(702) 335-6050
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
B01735
NV
Other
Enumeration date
03/11/2019
Last updated
08/11/2020
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