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Individual

JOSEPHINE BANAS GARCILLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2820 W CHARLESTON BLVD, C-23, LAS VEGAS, NV 89102-1942
(702) 437-4673
(702) 438-4673
Mailing address
2820 W CHARLESTON BLVD, C-23, LAS VEGAS, NV 89102-1942
(702) 437-4673
(702) 438-4673

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
06/06/2013
Last updated
06/06/2013
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