Individual
ANDRIS DUHARTE SUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 PILOT RD STE 250, LAS VEGAS, NV 89119-3514
(702) 982-3292
Mailing address
8921 W AVALON DR, PHOENIX, AZ 85037-3221
(602) 488-2394
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
883107
NV
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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