Individual
ISAIAH REESE HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1117 COBBLESTONE COVE RD, NORTH LAS VEGAS, NV 89081-3072
(702) 238-4982
Mailing address
1117 COBBLESTONE COVE RD, NORTH LAS VEGAS, NV 89081-3072
(702) 238-4982
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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