Individual
DANIELLE NICOLE LARIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2560 MONTESSOURI ST, SUITE 207, LAS VEGAS, NV 89117-3061
(702) 478-8400
(702) 478-8500
Mailing address
2560 MONTESSOURI ST, SUITE 207, LAS VEGAS, NV 89117-3061
(702) 478-8400
(702) 478-8500
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82
AMERIGROUP
NV
05
—
82
—
NV
Enumeration date
10/14/2010
Last updated
10/14/2010
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