Most Relevant Information
Provider Data
| NPI Number: | 1003404724 |
| Provider Name: | ERNESTO SEBASTIAN |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/07/2021 |
| Last Updated: | 01/07/2021 |
Provider Practice Location
4775 S DURANGO DR
LAS VEGAS
NV
891478150
Practice Location Phone/Fax
| Phone: | 7028023585 |
| Fax: |
Provider Mailing Location
4775 S DURANGO DR
LAS VEGAS
NV
891478150
Provider Mailing Phone/Fax
| Phone: | 7028023585 |
| Fax: |