Individual
DARTRELL SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4225 PAVO CT, NORTH LAS VEGAS, NV 89032-0741
(702) 572-7170
Mailing address
4225 PAVO CT, NORTH LAS VEGAS, NV 89032-0741
(702) 517-3349
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
NV
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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