NPI 1063254068

Malachi Zion Ballesteros

Practitioner Athletic Trainer Las Vegas, NV

Practice location

Address: 2013 White Falls St, Las Vegas, NV 89128-6751
Phone: (702) 755-7125

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Registry record

NPI: 1063254068
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jun 2024
Record last updated: 17 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.