Individual
DAUGHERTY IZAR CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9550 S EASTERN AVE STE 253, LAS VEGAS, NV 89123-8042
(702) 728-5858
Mailing address
1820 SUNLAND AVE, LAS VEGAS, NV 89106-3969
(702) 401-1692
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
NV
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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