Individual
CLARISSA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 ALTA DR STE 4, LAS VEGAS, NV 89106-4165
(702) 474-6450
(702) 474-6463
Mailing address
1640 ALTA DR STE 4, LAS VEGAS, NV 89106-4165
(702) 474-6450
(702) 474-6463
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
01646-I
NV
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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