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Organization

DENISIS VARONA-CHALA

Active
Other names
Simple Tax
Organization subpart
No

Provider details

NPI number
Authorized official
DENISIS VARONA CHALA (OWNER)
(702) 296-2765
Entity
Organization

Contact information

Practice address
4714 E FLAMINGO RD, LAS VEGAS, NV 89121-4709
(702) 685-7770
Mailing address
4714 E FLAMINGO RD, LAS VEGAS, NV 89121-4709
(702) 685-7770

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
374K00000X
Religious Nonmedical Practitioner
376J00000X
Homemaker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2003733.054-122
BUSINESS LICENSE NUMBER
NV
Enumeration date
11/05/2018
Last updated
11/05/2018
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