Individual
CHANCELLOR DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6683 ZEPHYR WIND AVE, LAS VEGAS, NV 89139-5339
(702) 289-1025
Mailing address
6683 ZEPHYR WIND AVE, LAS VEGAS, NV 89139-5339
(702) 289-1025
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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