Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner |
NPI | 1043802838 |
---|---|
Provider Name | Anthony Mosley JR. |
First Address | Las Vegas, NV 89130-3151 |
Second Address | Las Vegas, NV 89130-3151 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2021 |
Last Update Date | 03/02/2021 |