Individual
KHALIL ANTHONY HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3151 SOARING GULLS DR UNIT 2082, LAS VEGAS, NV 89128-7039
(702) 778-7776
Mailing address
3151 SOARING GULLS DR UNIT 2082, LAS VEGAS, NV 89128-7039
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
1404232755
NV
Other
Enumeration date
02/28/2012
Last updated
02/28/2012
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