Individual
BRIAN PAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
12334 MAIN ST, LAS VEGAS, NV 89505
(636) 737-7777
Mailing address
1233 S MAIN ST, LAS VEGAS, NV 89104-1028
(736) 736-3777
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
Primary
—
—
Other
Enumeration date
03/15/2017
Last updated
06/01/2023
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