Individual
EDUARDO DELATORRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
7978 CORONADO COAST ST, LAS VEGAS, NV 89139-6192
(702) 876-4333
Mailing address
7978 CORONADO COAST ST, LAS VEGAS, NV 89139-6192
(702) 876-4333
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
162335
NV
363AS0400X
Surgical Physician Assistant
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Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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