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Individual
MR. JOSHUA REESE MANZANO
Active
Individual
MR. JOSHUA REESE MANZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
—
NV
225600000X
Dance Therapist
Primary
R-DMT-2456
—
Other
Enumeration date
07/22/2015
Last updated
07/20/2020
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