Most Relevant Information
Provider Data
| NPI Number: | 1003315656 |
| Provider Name: | NORBERTO LEON-GUTIERREZ |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/09/2018 |
| Last Updated: | 02/09/2018 |
Provider Practice Location
1951 STELLA LAKE ST
LAS VEGAS
NV
891062114
Practice Location Phone/Fax
| Phone: | 7025958309 |
| Fax: |
Provider Mailing Location
401 WARMSIDE DR
LAS VEGAS
NV
891455373
Provider Mailing Phone/Fax
| Phone: | 7023787134 |
| Fax: |