Provider First Line Business Practice Location Address:
9100 W. DESERT INN AVE.
Provider Second Line Business Practice Location Address:
AEGIS OF LAS VEGAS,
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89117-6323
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-240-3070
Provider Business Practice Location Address Fax Number:
702-777-4822
Provider Enumeration Date:
03/21/2011