Individual
MR. KENNETH AARON TEJADA-CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3853 LANCOME ST, LAS VEGAS, NV 89115-2423
(702) 722-7428
Mailing address
3853 LANCOME ST, LAS VEGAS, NV 89115-2423
(702) 722-7428
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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