Individual
SAMUEL DEANGELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1050 E FLAMINGO RD STE S-107, LAS VEGAS, NV 89119-7427
(702) 733-8098
(702) 395-6457
Mailing address
1050 E FLAMINGO RD STE S-107, LAS VEGAS, NV 89119-7427
(702) 733-8098
(702) 395-6457
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/21/2012
Last updated
09/21/2012
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