Individual
INARVIS PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4678 WELTER AVE, LAS VEGAS, NV 89104-6034
(702) 810-6682
Mailing address
4678 WELTER AVE, LAS VEGAS, NV 89104-6034
(702) 810-6682
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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