Individual
AMBAR DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
72 QUIET DESERT LN, HENDERSON, NV 89074-3234
(702) 816-0141
Mailing address
6889 S EASTERN AVE, LAS VEGAS, NV 89119-4687
(702) 434-1200
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
1704643819
NV
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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