Individual
KARLO PAULO MANAZANO VIRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NCMA
Contact information
Practice address
6889 S EASTERN AVE, LAS VEGAS, NV 89119-4687
(702) 434-1200
Mailing address
5430 NICKEL CREEK TRL, LAS VEGAS, NV 89122-8318
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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