ISAIAH IAEA

LAS VEGAS, NV
NPI1154718468
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NV  3701)
Additional Taxonomies225100000X Physical Therapist
Enumeration Date2015-04-24
Last Update Date2019-12-03
Business Address
ISAIAH IAEA
2035 W CHARLESTON BLVD
LAS VEGAS, NV 89102-2223
Phone number: 808-428-4184
Mailing Address
ISAIAH IAEA
PO BOX 711185
SALT LAKE CITY, UT 84171-1185
Phone number: 801-942-3311
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