Individual
JOSE AREVALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5950 BARBOSA DR UNIT 12, NORTH LAS VEGAS, NV 89031-4159
(631) 944-0562
Mailing address
5950 BARBOSA DR UNIT 12, NORTH LAS VEGAS, NV 89031-4159
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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