Provider First Line Business Practice Location Address:
DEPT VETERANS AFFAIRS
Provider Second Line Business Practice Location Address:
6900 N. PECOS RD.
Provider Business Practice Location Address City Name:
NO. LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89086
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-600-6552
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/14/2006