Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner |
NPI | 1053690040 |
---|---|
Provider Name | Mr. Ronald Lee Balmer JR. |
First Address | Las Vegas, NV 89102-1942 |
Second Address | Las Vegas, NV 89102-1942 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2011 |
Last Update Date | 09/08/2011 |