Provider First Line Business Practice Location Address:
1841 E CRAIG RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTH LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89030-3391
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-636-3000
Provider Business Practice Location Address Fax Number:
702-636-4057
Provider Enumeration Date:
05/12/2006