Individual
JOHNNIE WESLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4050 SPARROW ROCK ST, LAS VEGAS, NV 89129-3285
(559) 283-6625
Mailing address
4050 SPARROW ROCK ST, LAS VEGAS, NV 89129-3285
(559) 283-6625
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/14/2011
Last updated
03/14/2011
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