Individual
CHRIS WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5152 CANTINA LN, NORTH LAS VEGAS, NV 89031-3305
(702) 281-7929
Mailing address
5152 CANTINA LN, NORTH LAS VEGAS, NV 89031-3305
(702) 281-7929
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
05/01/2011
Last updated
05/01/2011
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