Individual
JUAN CARLOS FAVELA I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2915 CEDAR AVE, APT 1 -C, LAS VEGAS, NV 89101-3832
(702) 346-0726
Mailing address
2915 CEDAR AVE, APT 1 -C, LAS VEGAS, NV 89101-3832
(702) 346-0726
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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