Individual
ANTHONY VANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1829 CAPILANO LN, NORTH LAS VEGAS, NV 89031-5522
(702) 415-5778
Mailing address
1829 CAPILANO LN, NORTH LAS VEGAS, NV 89031-5522
(702) 415-5778
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
01/24/2014
Last updated
01/24/2014
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