Most Relevant Information
Provider Data
| NPI Number: | 1003463084 |
| Provider Name: | GERARD TAGUIAM |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/23/2019 |
| Last Updated: | 08/23/2019 |
Provider Practice Location
7016 MANZANARES DR
NORTH LAS VEGAS
NV
890842344
Practice Location Phone/Fax
| Phone: | 5107591966 |
| Fax: |
Provider Mailing Location
7016 MANZANARES DR
NORTH LAS VEGAS
NV
890842344
Provider Mailing Phone/Fax
| Phone: | 5107591966 |
| Fax: |