Individual
DOREEN TAGAVILLA CARIAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2012 S JONES BLVD, LAS VEGAS, NV 89146-3151
(702) 360-1137
Mailing address
9712 RED HORSE ST, LAS VEGAS, NV 89143-1158
(702) 544-3406
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4107
NV
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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