Individual
JONAH KALEIAHI MAWAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
7425 W AZURE DR STE 140, LAS VEGAS, NV 89130-4425
(702) 515-4009
Mailing address
7425 W AZURE DR, LAS VEGAS, NV 89130-4418
(702) 515-4009
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
4019
NV
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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