Individual
BRANDON DABU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5524 S. FORT APACHE RD., LAS VEGAS, NV 89148-7668
(702) 664-9614
Mailing address
5524 S FORT APACHE RD, LAS VEGAS, NV 89148-7668
(702) 664-9614
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
35648
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
876341
NV
Other
Enumeration date
04/18/2011
Last updated
06/07/2024
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