Individual
REUBEN CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10656 FOGGY GLEN AVE, LAS VEGAS, NV 89135-1122
(702) 768-7080
Mailing address
10656 FOGGY GLEN AVE, LAS VEGAS, NV 89135-1122
(702) 768-7080
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6407
NV
Other
Enumeration date
08/01/2021
Last updated
08/01/2021
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