Individual
JAMES REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3606 N RANCHO DR STE 144, SUITE 102 # 4, LAS VEGAS, NV 89130-3196
(702) 658-9563
Mailing address
2004 CANVAS EDGE DR, HENDERSON, NV 89044-0273
(702) 269-4722
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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