Individual
MANUEL DELGADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1815 E LAKE MEAD BLVD, STE 300, NORTH LAS VEGAS, NV 89030-7187
(702) 642-0441
Mailing address
920 STABLE GLEN DR, NORTH LAS VEGAS, NV 89031-1830
(702) 446-2750
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1131
LICENSE #
NV
Enumeration date
08/30/2006
Last updated
07/08/2007
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