Willie Dwayne Anderson
Willie Dwayne Anderson is a Rehabilitation Practitioner in Las Vegas, Nevada. Practices as a sole proprietor. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
7381 Prairie Falcon RdLas Vegas, NV 89128-0811
Phone: (702) 646-5437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1649574559 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 6, 2011 |
| Last updated in NPPES | January 6, 2011 |
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