Individual
MR. DOUGLAS RAY WENDELIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6628 SKY POINTE DR STE 113, LAS VEGAS, NV 89131-4071
(602) 451-7947
Mailing address
7260 W AZURE DR STE 140-182, LAS VEGAS, NV 89130-7999
(602) 451-7947
Taxonomy
Speciality
Code
Description
License number
State
2472E0500X
EEG Technician
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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