Individual
TYRONE A HEWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
825 COPPER MOON LN, NORTH LAS VEGAS, NV 89031-1908
(707) 592-6625
Mailing address
PO BOX 34831, LAS VEGAS, NV 89133-4831
(707) 592-6625
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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