Individual
SELINA OZUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
911 N BUFFALO DR, LAS VEGAS, NV 89128-0379
(702) 942-1774
Mailing address
911 N BUFFALO DR., LAS VEGAS, NV 89128
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145600645
LEGACY HEALTH AND WELLNESS
—
Enumeration date
06/26/2017
Last updated
06/26/2017
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