Individual
SUCELLY MELISSA DIAZ ERAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 EL RANCHO DR SPC 88, SPARKS, NV 89431-4117
(775) 223-6530
Mailing address
501 EL RANCHO DR SPC 88, SPARKS, NV 89431-4117
(775) 223-6530
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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