Individual
LUZ DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2755 E DESERT INN RD STE 210, LAS VEGAS, NV 89121-3625
(702) 538-8420
(702) 446-0087
Mailing address
2755 E DESERT INN RD STE 210, LAS VEGAS, NV 89121-3625
(702) 538-8420
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-96105
NV
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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