Individual
ANA PRAZERES GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1181 S BUFFALO DR STE 105, LAS VEGAS, NV 89117-8312
(702) 360-1137
Mailing address
309 TUDOR ROSE CT, LAS VEGAS, NV 89145-8681
(702) 254-3692
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2204
NV
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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