Individual
MRS. REGINA BAEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 N RAINBOW BLVD, SUITE 110, LAS VEGAS, NV 89107-1189
(702) 778-8922
Mailing address
800 N RAINBOW BLVD, SUITE 110, LAS VEGAS, NV 89107-1189
(702) 778-8922
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639470172
—
NV
Enumeration date
06/12/2012
Last updated
06/12/2012
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