Individual
MISNELLI DIAZ-OSORIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4714 E FLAMINGO RD, LAS VEGAS, NV 89121-4709
(702) 685-7770
Mailing address
4714 E FLAMINGO RD, LAS VEGAS, NV 89121-4709
(702) 685-7770
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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