Most Relevant Information
Provider Data
| NPI Number: | 1003212713 |
| Provider Name: | ACE J DAVID |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/06/2014 |
| Last Updated: | 11/18/2014 |
Provider Practice Location
4992 DODGE RIDGE AVE
LAS VEGAS
NV
891390111
Practice Location Phone/Fax
| Phone: | 7026868914 |
| Fax: |
Provider Mailing Location
4992 DODGE RIDGE AVE
LAS VEGAS
NV
891390111
Provider Mailing Phone/Fax
| Phone: | 7026868914 |
| Fax: |