Individual
MARIO LUIS AZCUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9925 W RUSSELL RD UNIT 1100, LAS VEGAS, NV 89148-5597
(702) 439-6226
Mailing address
9925 W RUSSELL RD UNIT 1100, LAS VEGAS, NV 89148-5597
(702) 439-6226
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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