Individual
MR. JOSHUA REESE MANZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5812 SUTCLIFFE CIR, LAS VEGAS, NV 89110-3855
(702) 518-7247
Mailing address
5812 SUTCLIFFE CIR, LAS VEGAS, NV 89110-3855
(702) 518-7247
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
—
NV
225600000X
Dance Therapist
Primary
R-DMT-2456
—
Other
Enumeration date
07/22/2015
Last updated
07/20/2020
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