Individual
DEANNA LORRAINE KUNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2375 E TROPICANA AVE # 144, LAS VEGAS, NV 89119-6564
(702) 827-4524
Mailing address
1487 EVENING SONG AVE, HENDERSON, NV 89012-4466
(702) 300-9050
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225677487
—
NV
Enumeration date
03/02/2020
Last updated
03/08/2020
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