Antoinettia Denise Royal
Rehabilitation Practitioner in Las Vegas, NV. Individual provider (NPI-1).
NPI number1982122644
StatusActive
Last updated in NPPESSep 1, 2017
Details
- NPI
- 1982122644
- Entity type
- Individual (NPI-1)
- Name
- Antoinettia Denise Royal
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 1, 2017
- Last updated
- Sep 1, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
Practice location
3620 N Rancho Dr Ste 107Las Vegas, NV 89130-3153
Phone 702-656-5683 · Fax 702-656-5685
Mailing address
3620 N Rancho Dr Ste 107Las Vegas, NV 89130-3153
Phone 702-656-5683
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