Most Relevant Information
Provider Data
NPI Number: | 1003553074 |
Provider Name: | PAULA LIZETH DIAZ |
Entity Type: | Individual |
Taxonomy Code: | 3747P1801X |
Specialty: | Technician |
License Number: |
Most Important Dates
Enumeration Date: | 05/19/2022 |
Last Updated: | 05/19/2022 |
Provider Practice Location
2770 S MARYLAND PKWY STE 213A
LAS VEGAS
NV
891091565
Practice Location Phone/Fax
Phone: | 7023310100 |
Fax: |
Provider Mailing Location
3409 LANDAU ST
NORTH LAS VEGAS
NV
890304632
Provider Mailing Phone/Fax
Phone: | 7025832946 |
Fax: |