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Individual

JAN MICHAEL VINCENT GALANG DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4270 S DECATUR BLVD STE B5, LAS VEGAS, NV 89103-6802
(725) 220-4200
(725) 220-4199
Mailing address
930 CARNEGIE ST UNIT 921, HENDERSON, NV 89052-4512
(661) 607-6014

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
816419
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
816419
NV

Other

Enumeration date
04/01/2019
Last updated
06/09/2022
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