Individual
AMIE-GAYLE G MIRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
6510 HINSON ST, LAS VEGAS, NV 89118-4413
(702) 860-2246
(702) 260-8942
Mailing address
6510 HINSON ST, LAS VEGAS, NV 89118-4413
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0506462
NV
Other
Enumeration date
09/21/2017
Last updated
12/28/2017
About Stedi
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