Individual
CHRISZHAN NICOLE FONTANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10550 PARK RUN DR, LAS VEGAS, NV 89144-4575
(702) 515-6500
Mailing address
10550 PARK RUN DR, LAS VEGAS, NV 89144-4575
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0854
NV
Other
Enumeration date
04/21/2020
Last updated
04/21/2020
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