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Search › Nevada › 225400000X

Juan Favela

NPI 1962788828 · on the registry since 2011 · sole proprietor

Practice

Address
2915 Cedar Ave
Apt 1 -C
Las Vegas, NV 89101
Phone
(702) 346-0726
Organisation at this address
Luminous Way Llc
Elevated Brain Techs, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
225400000X
225400000X
Sex
Male
Record last updated
2011-10-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada