Individual
FITRY RAHMADIANTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2860 E FLAMINGO RD STE D, LAS VEGAS, NV 89121-5270
(702) 202-0291
Mailing address
4922 CHEST PARK AVE, LAS VEGAS, NV 89131-5290
(415) 320-0786
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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