Individual
CLARENCE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 S RANCHO DR STE 103, LAS VEGAS, NV 89106-4806
(702) 258-9381
(702) 258-9584
Mailing address
848 N RAINBOW BLVD # 357, LAS VEGAS, NV 89107-1103
(702) 256-9738
(702) 242-5629
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
004117
KY
225100000X
Physical Therapist
Primary
2335
NV
225100000X
Physical Therapist
5247
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396707626
—
NV
Enumeration date
04/03/2006
Last updated
07/20/2009
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