Individual
JUAN AMERICO DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9024
Mailing address
3509 CHELSEA GROVE ST, LAS VEGAS, NV 89122-3635
(702) 480-8044
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
12/16/2018
Last updated
12/16/2018
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