Individual
MICHEAL STAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3406 CINNAMON CREEK AVE, NORTH LAS VEGAS, NV 89031-3520
(702) 994-8501
Mailing address
3406 CINNAMON CREEK AVE, NORTH LAS VEGAS, NV 89031-3520
(702) 994-8501
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/18/2014
Last updated
02/21/2014
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