Individual
REGINALD DOWDY SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5304 SANGARA DR, NORTH LAS VEGAS, NV 89031-7913
(702) 379-6249
Mailing address
5304 SANGARA DR, NORTH LAS VEGAS, NV 89031-7913
(702) 379-6249
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
4300250882
NV
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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