Individual
ODAIMY CASUSO AGUILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1580 E DESERT INN RD, STE 200, LAS VEGAS, NV 89169-2548
(702) 836-3442
(702) 836-9367
Mailing address
1580 E DESERT INN RD, SUITE 200, LAS VEGAS, NV 89169-2548
(702) 457-7542
(702) 450-4239
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/06/2013
Last updated
03/13/2015
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