Individual
STEPHANO BRISSETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2008 HAMILTON LN, LAS VEGAS, NV 89106-4033
(702) 900-1489
Mailing address
2008 HAMILTON LN, LAS VEGAS, NV 89106-4033
(702) 900-1489
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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