Individual
MRS. ADA ENID DELVALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2170 E HARMON AVE, LAS VEGAS, NV 89119-7840
(702) 794-0100
Mailing address
3429 VISIONARY BAY AVE, NORTH LAS VEGAS, NV 89081-6514
(702) 642-9458
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0439
NV
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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