Individual
DEMETRIUS E WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3036 ANDRETTI LN, HENDERSON, NV 89052-4144
(702) 259-2493
Mailing address
3036 ANDRETTI LN, HENDERSON, NV 89052-4144
(702) 259-2493
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/24/2011
Last updated
02/24/2011
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