Most Relevant Information
Provider Data
NPI Number: | 1003237942 |
Provider Name: | CHRIS CREDELL WATERS |
Entity Type: | Individual |
Taxonomy Code: | 225400000X |
Specialty: | Rehabilitation Practitioner |
License Number: |
Most Important Dates
Enumeration Date: | 12/19/2013 |
Last Updated: | 12/19/2013 |
Provider Practice Location
7381 PRAIRIE FALCON RD STE 110
LAS VEGAS
NV
891280812
Practice Location Phone/Fax
Phone: | 7026465437 |
Fax: |
Provider Mailing Location
7381 PRAIRIE FALCON RD STE 110
LAS VEGAS
NV
891280812
Provider Mailing Phone/Fax
Phone: | 7026465437 |
Fax: |