Individual
DENISIS VARONA CHALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4714 E FLAMINGO RD, LAS VEGAS, NV 89121-4709
(702) 685-7770
Mailing address
4714 E FLAMINGO RD, LAS VEGAS, NV 89121-4709
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172A00000X
Driver
—
—
225600000X
Dance Therapist
—
—
225800000X
Recreation Therapist
—
—
225A00000X
Music Therapist
—
—
372600000X
Adult Companion
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NV20171812693
SOLE PROPRIETOR BUSINESS LICENSE ID
NV
Enumeration date
09/19/2018
Last updated
11/05/2018
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