Most Relevant Information
Provider Data
| NPI Number: | 1003314527 |
| Provider Name: | LIZBETH ANGELICA FARIAS |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/30/2018 |
| Last Updated: | 01/30/2018 |
Provider Practice Location
1951 STELLA LAKE ST
LAS VEGAS
NV
891062114
Practice Location Phone/Fax
| Phone: | 7025958309 |
| Fax: |
Provider Mailing Location
5401 MOONSTRUCK AVE
LAS VEGAS
NV
891071594
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |