MR. Jerrell De'andre Roberts
NPI #1003195488 in North Las Vegas, Nevada
Provider Information
- NPI Number
- 1003195488
- Entity Type
- Individual
- Name
- MR. Jerrell De'andre Roberts
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Rehabilitation Practitioner
- Enumeration Date
- Aug 16, 2011
- Last Updated
- Sep 16, 2011
Practice Location
- Address
- 2704 PROSPECTOR MINE AVE
- City
- North Las Vegas
- State
- Nevada
- ZIP Code
- 89031-1188
- Phone
- (702) 647-5300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Rehabilitation Practitioner |
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