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Davidson Canaveral, ATC
NPI 1093495301 · on the registry since 2023
Practice
- Address
- 5880 Boulder Falls St Apt 2181
Henderson, NV 89011 - Phone
- (808) 687-0196
- Organisation at this address
- Phoenix Rising Nevada
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Sex
- Male
- Record last updated
- 2023-07-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada