Individual
MR. MICHAEL MATIAS DELA ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1040 PAHRUMP VALLEY BLVD #3, PAHRUMP, NV 89048
(775) 910-9017
Mailing address
1040 PAHRUMP VALLEY BLVD APT 3, PAHRUMP, NV 89048-6111
(775) 910-9017
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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