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Leidy Desired Miracle
Rehabilitation Practitioner in Las Vegas, Nevada
NPI 1558859397

Leidy Desired Miracle is a Rehabilitation Practitioner based in Las Vegas, NV. Leidy Desired Miracle practices in Las Vegas, NV. The NPI Number for Leidy Desired Miracle is 1558859397 and holds a License No. (Nevada).

The current practice location address for Leidy Desired Miracle is 5225 White Coyote Pl, Las Vegas, NV and can be reached out via phone at 702-575-3718.

Location: 5225 White Coyote Pl, Las Vegas, NV, 89130-1627
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558859397
Provider Name
Leidy Desired Miracle
Credential
Provider Entity Type
Individual
Gender
Female
Address
5225 White Coyote Pl, Las Vegas, NV, 89130-1627
Phone Number
702-575-3718
Fax Number
Provider Enumeration Date
04/26/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5225 White Coyote Pl
City
Las Vegas
State
Nevada
Zip
89130-1627
Phone Number
702-575-3718
Fax Number
person
Provider Business Mailing Address Details
Address
5225 White Coyote Pl
City
Las Vegas
State
Nevada
Zip
89130-1627
Phone Number
702-575-3718
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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