Individual
EARL NATHANIEL TEMPLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
7125 GRAND MONTECITO PKWY STE 120, LAS VEGAS, NV 89149-0261
(702) 515-1540
Mailing address
1165 ANTOINETTE ST, LAS VEGAS, NV 89123-5343
(725) 254-8878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6208
NV
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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