Individual
MR. GEORGE J BAEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
2410 FIRE MESA ST, LAS VEGAS, NV 89128-9016
(702) 592-8344
Mailing address
4120 CRUSADER CT, LAS VEGAS, NV 89115-6296
(702) 636-6000
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
247934
NY
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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