NPI 1003195488

Jerrell De'Andre Roberts

Practitioner Rehabilitation Practitioner North Las Vegas, NV

Practice location

Address: 2704 Prospector Mine Ave, North Las Vegas, NV 89031-1188
Phone: (702) 647-5300

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X

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Registry record

NPI: 1003195488
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Aug 2011
Record last updated: 16 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.