Individual
THIERRY DIEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6032 TERSKY CT, LAS VEGAS, NV 89122-3443
(702) 601-9381
(702) 287-2832
Mailing address
6032 TERSKY CT, LAS VEGAS, NV 89122-3443
(702) 601-9381
(702) 287-2832
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
20161209961
NV
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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