Individual
ISHMAEL LATEEF THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
29 N 28TH ST, LAS VEGAS, LAS VEGAS, NV 89101-4667
(702) 885-8755
Mailing address
29 N 28TH ST, LAS VEGAS, LAS VEGAS, NV 89101-4667
(702) 885-8755
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/16/2011
Last updated
02/22/2011
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