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Willie Bertram Mcconico JR.
Rehabilitation Practitioner in North Las Vegas, Nevada
NPI 1669779849

Willie Bertram Mcconico JR. is a Rehabilitation Practitioner based in North Las Vegas, NV. Willie Bertram Mcconico JR. practices in North Las Vegas, NV. The NPI Number for Willie Bertram Mcconico JR. is 1669779849 and holds a License No. (Nevada).

The current practice location address for Willie Bertram Mcconico JR. is 208 Gemstone Hill Ave, North Las Vegas, NV and can be reached out via phone at 702-636-4186.

Location: 208 Gemstone Hill Ave, North Las Vegas, NV, 89031-6861
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669779849
Provider Name
Willie Bertram Mcconico JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
208 Gemstone Hill Ave, North Las Vegas, NV, 89031-6861
Phone Number
702-636-4186
Fax Number
Provider Enumeration Date
02/23/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
208 Gemstone Hill Ave
City
North Las Vegas
State
Nevada
Zip
89031-6861
Phone Number
702-636-4186
Fax Number
person
Provider Business Mailing Address Details
Address
208 Gemstone Hill Ave
City
North Las Vegas
State
Nevada
Zip
89031-6861
Phone Number
702-636-4186
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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