Individual
JASON KANIELA DIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2775 ATHENS RIDGE DR, HENDERSON, NV 89052-4298
(808) 348-9893
Mailing address
2775 ATHENS RIDGE DR, HENDERSON, NV 89052-4298
(808) 348-9904
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
07/25/2024
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