Individual
JORGE MOISES ANAUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
1171 CASEY RD, PAHRUMP, NV 89048-7318
(775) 419-3983
Mailing address
1171 CASEY RD, PAHRUMP, NV 89048-7318
(775) 419-3983
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1702898045
NV
Other
Enumeration date
10/06/2018
Last updated
10/06/2018
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