Individual
ANTONIO BASILIO MALIGAYA BANDALES II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5515 S. DURANGO DR. STE 120, LAS VEGAS, NV 89113
(702) 869-4401
Mailing address
6535 AUSTIN HOPE AVE, LAS VEGAS, NV 89118-6096
(702) 881-8061
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4830
NV
Other
Enumeration date
07/05/2022
Last updated
07/08/2022
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