Individual
MRS. CHIQUI VERACION ASILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6021 W CHEYENNE AVE, LAS VEGAS, NV 89108-4205
(702) 658-9494
Mailing address
11628 BOLLINGER LN, LAS VEGAS, NV 89141-3225
(951) 233-1266
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4733
NV
225100000X
Physical Therapist
5421
ME
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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