Individual
DUSTIN V MECHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
930 N 4TH ST, LAS VEGAS, NV 89101-1001
(702) 383-4044
Mailing address
3704 THOMAS PATRICK AVE, NORTH LAS VEGAS, NV 89032-8934
(702) 630-9662
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
7877248-3102
UT
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN72654
NV
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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