Most Relevant Information
Provider Data
| NPI Number: | 1003294331 |
| Provider Name: | BERNARD TAVONE RISCO |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/06/2015 |
| Last Updated: | 05/06/2015 |
Provider Practice Location
5000 INDIAN RIVER DR
BUILDING 244 APT. 481
LAS VEGAS
NV
891035294
Practice Location Phone/Fax
| Phone: | 2157967901 |
| Fax: |
Provider Mailing Location
5000 INDIAN RIVER DR
BUILDING 244 APT. 481
LAS VEGAS
NV
891035294
Provider Mailing Phone/Fax
| Phone: | 2157967901 |
| Fax: |