Organization
GENESIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CURTIS STUCKEY (EXECUTIVE DIRECTOR)
(702) 544-0763
Entity
Organization
Contact information
Practice address
3920 W ANN RD, 100, NORTH LAS VEGAS, NV 89031-3839
(702) 544-0763
(702) 656-3426
Mailing address
3920 W ANN RD, 100, NORTH LAS VEGAS, NV 89031-3839
(702) 544-0763
(702) 656-3426
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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