Individual
DAN WRUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9499 W CHARLESTON BLVD, STE 200, LAS VEGAS, NV 89117-7150
(702) 933-9393
Mailing address
9499 W CHARLESTON BLVD, STE 200, LAS VEGAS, NV 89117-7150
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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