Individual
SANTIAGO C LADERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6021 W CHEYENNE AVE, LAS VEGAS, NV 89108-4205
(702) 658-9494
Mailing address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
NV
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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