Individual
DAVIDSON CIELO CANAVERAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5880 BOULDER FALLS ST APT 2181, HENDERSON, NV 89011-4971
(808) 687-0196
Mailing address
5880 BOULDER FALLS ST APT 2181, HENDERSON, NV 89011-4971
(808) 687-0196
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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