Individual
EDWARD RAYMOND PAIGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2840 S JONES BLVD, LAS VEGAS, NV 89146-5653
(917) 572-3135
Mailing address
2840 S. JONES BOULEVARD, LAS VEGAS, NV 89146
(917) 572-3135
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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