Individual
MICHAEL ANGELO CLAVERIA MALACAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6351 N FORT APACHE RD, LAS VEGAS, NV 89149-2300
(702) 515-3000
Mailing address
4560 SE INTERNATIONAL WAY, MILWAUKIE, OR 97222-4628
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0762
NV
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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