Individual
JAMES WAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5528 HOLCOMB BRIDGE CT, LAS VEGAS, NV 89149-4019
(603) 978-8905
Mailing address
5528 HOLCOMB BRIDGE CT, LAS VEGAS, NV 89149-4019
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11-1093
NV
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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