Individual
MIRIAM OSORIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8832 PINE PITCH DR, LAS VEGAS, NV 89143-4440
(702) 576-5308
Mailing address
8832 PINE PITCH DR, LAS VEGAS, NV 89143-4440
(702) 576-5308
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00001124726
—
NV
05
—
00001204855
—
NV
Enumeration date
05/06/2015
Last updated
05/06/2015
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