Individual
JONATHAN AMANCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2170 E HARMON AVE, LAS VEGAS, NV 89119-7840
(702) 794-0100
Mailing address
2170 E HARMON AVE, LAS VEGAS, NV 89119-7840
(702) 794-0100
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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