O'Broderic Mytiawo Sanders II
O'Broderic Mytiawo Sanders II is a Community/Behavioral Health Agency in Las Vegas, Nevada. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
1516 E Tropicana AveLas Vegas, NV 89119-6525
Phone: (702) 586-9674
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1205347333 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 16, 2017 |
| Last updated in NPPES | October 16, 2017 |
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