Individual provider · Type 1 NPI

Jon G. Requena

Rehabilitation Practitioner · Las Vegas, NV

NPI number 1992015507 Active

Practice location

8916 Crystal Coral Way
Las Vegas, NV 89123-3141

Call (702) 782-8557 Map

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1992015507

Jon G. Requena's National Provider Identifier is 1992015507, issued on Oct 15, 2010. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Las Vegas, NV. The record was last updated on Oct 15, 2010.