Individual
DIANA REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4109 E CHICAGO AVE, LAS VEGAS, NV 89104-5208
(702) 278-9728
Mailing address
4109 E CHICAGO AVE, LAS VEGAS, NV 89104-5208
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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