Individual
ANNA-LIZETTE MATIAS ANGAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4215 E BOSTON AVE, LAS VEGAS, NV 89104-5305
(702) 505-1208
Mailing address
3933 CAPTAIN JON AVE, LAS VEGAS, NV 89104-5024
(702) 485-1575
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
11/19/2010
Last updated
11/19/2010
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