NPI 1003294331
Bernard Tavone Risco
Practice location
- Address
- 5000 Indian River Dr Building 244 APT. 481, Las Vegas, NV 89103-5294
- Phone
- (215) 796-7901
Registered specialties
Mental Health Counselor
Primary
Registry record
- NPI
- 1003294331
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 May 2015
- Record last updated
- 6 May 2015
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.