Individual
STACHIA DRAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2920 S JONES BLVD STE 225, LAS VEGAS, NV 89146-5622
(702) 476-6395
Mailing address
2920 S JONES BLVD STE 225, LAS VEGAS, NV 89146-5622
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
04/14/2022
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