Individual
KEVIN WILTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
3280 WYNN RD, STE 1, LAS VEGAS, NV 89102-7823
(702) 966-2414
(702) 629-7647
Mailing address
3280 WYNN RD, STE 1, LAS VEGAS, NV 89102-7823
(702) 966-2414
(702) 629-7647
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA002785
NV
Other
Enumeration date
06/27/2008
Last updated
06/27/2008
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