Individual
MIRIAM EVARISTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9070 W CHEYENNE AVE STE 100, LAS VEGAS, NV 89129-8935
(702) 655-8535
Mailing address
3322 TRATTNER ST, LAS VEGAS, NV 89135-2859
(702) 898-1896
(702) 685-1651
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
0671
NV
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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