Individual
KEN GERALDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1701 W CHARLESTON BLVD STE 230, LAS VEGAS, NV 89102-2312
(702) 660-8658
Mailing address
105 RUSH CREEK CT, SAN RAMON, CA 94582-5624
(408) 628-8266
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/25/2022
Last updated
07/01/2023
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