Individual
MR. JOSE MARI C CARONAN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4509 QUEENS HILL ST, NORTH LAS VEGAS, NV 89031-2282
(310) 818-1772
Mailing address
4509 QUEENS HILL ST, NORTH LAS VEGAS, NV 89031-2282
(310) 818-1772
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-1476
NV
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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