Individual
DOROTHEA MAZA MUNIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3962 BLUE DIAMOND RD STE 105, LAS VEGAS, NV 89139-7795
(702) 791-6860
Mailing address
1560 DARK WOLF AVE, LAS VEGAS, NV 89123-4859
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
970
NV
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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