Individual
MR. LOUIE TAQUIQUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3566 TUNDRA SWAN ST, LAS VEGAS, NE 89122
(702) 806-5198
Mailing address
3566 TUNDRA SWAN ST, LAS VEGAS, NV 89122-3501
(702) 806-5198
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV2017143936
NV
Other
Enumeration date
08/11/2017
Last updated
07/21/2022
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