NPI 1053709667
Mason Stanley
Practice location
- Address
- 2035 W Charleston Blvd, Las Vegas, NV 89102-2223
- Phone
- (702) 386-7980
- Mailing address
- 9550 W Sahara Ave APT 1088, Las Vegas, NV 89117-5373
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1053709667
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 5 Jan 2015
- Record last updated
- 5 Jan 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.