Individual
SEAN DEAGON WOLVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9880 W FLAMINGO RD STE 260, LAS VEGAS, NV 89147-8085
(702) 680-0016
Mailing address
9880 W FLAMINGO RD STE 260, LAS VEGAS, NV 89147-8085
(702) 680-0016
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4940
NV
Other
Enumeration date
08/09/2022
Last updated
08/10/2022
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