Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist | 1836 | CA |
NPI | 1205278256 |
---|---|
Provider Name | Miss Charity Beatrice Sonza Cervantes |
First Address | Henderson, NV 89014-7870 |
Second Address | North Las Vegas, NV 89086-4400 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2013 |
Last Update Date | 18/07/2013 |