SearchNevada2255A2300X

Tedd Girouard, ATC

NPI 1629596218 · on the registry since 2017 · sole proprietor

Practice

Address
4505 S Maryland Pkwy # 3034
Las Vegas, NV 89154
Phone
(702) 895-5828
Fax
(702) 895-5828

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
NV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-21

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