Most Relevant Information
Provider Data
| NPI Number: | 1003253592 |
| Provider Name: | AUDRA LEE BARNETTE |
| Entity Type: | Individual |
| Taxonomy Code: | 225400000X |
| Specialty: | Rehabilitation Practitioner |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/24/2013 |
| Last Updated: | 05/24/2013 |
Provider Practice Location
416 PECOS ST SUITE 17
LAS VEGAS
NV
89121
Practice Location Phone/Fax
| Phone: | 7754431803 |
| Fax: |
Provider Mailing Location
416 PECOS ST SUITE 17
LAS VEGAS
NV
89121
Provider Mailing Phone/Fax
| Phone: | 7754431803 |
| Fax: |