Individual
MR. RYAN LAINEZ RIVADELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
264 SWEET JEWEL ST, HENDERSON, NV 89074-8042
(708) 890-1090
Mailing address
264 SWEET JEWEL ST, HENDERSON, NV 89074-8042
(708) 890-1090
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3005
NV
Other
Enumeration date
03/21/2020
Last updated
03/21/2020
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