Individual
BRYAN DELA PENA PERALTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9414 W LAKE MEAD BLVD, LAS VEGAS, NV 89134-8312
(702) 720-4745
Mailing address
9414 W LAKE MEAD BLVD, LAS VEGAS, NV 89134
(702) 720-4745
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/02/2011
Last updated
07/27/2015
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