Individual
MILROSE SUPAN NACPIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OT
Contact information
Practice address
6302 AZTEC CROSSING CT, LAS VEGAS, NV 89142-7922
(702) 324-3915
(702) 982-8105
Mailing address
6302 AZTEC CROSSING CT, LAS VEGAS, NV 89142-7922
(702) 324-3915
(702) 982-8105
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
09-0174
NV
Other
Enumeration date
04/06/2009
Last updated
10/25/2011
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