Individual
HARRISON GOLDEN DIEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3835 S JONES BLVD, #104, LAS VEGAS, NV 89103-7125
(702) 880-4193
Mailing address
4616 W SAHARA AVE, #337, LAS VEGAS, NV 89102-3654
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2478
NV
Other
Enumeration date
01/11/2007
Last updated
09/01/2016
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