MR. Vincent D Cornish, AA/LA; AS/FT.; H

NPI #1205196581 in Dayton, Nevada

Provider Information

NPI Number
1205196581
Entity Type
Individual
Name
MR. Vincent D Cornish, AA/LA; AS/FT.; H
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Rehabilitation Practitioner
Credential
AA/LA; AS/FT.; H
Enumeration Date
May 21, 2012
Last Updated
May 21, 2012

Practice Location

Address
317 PROSPECTOR RD
City
Dayton
State
Nevada
ZIP Code
89403-5601
Phone
(719) 930-6896

Specialties & Taxonomy Codes

Specialty
Rehabilitation Practitioner

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