Individual
MR. JEFFREY POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
640 SUMMIT VALLEY LN, HENDERSON, NV 89011-4146
(702) 715-2088
Mailing address
640 SUMMIT VALLEY LN, HENDERSON, NV 89011-4146
(702) 715-2088
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/05/2010
Last updated
04/01/2011
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