Individual
BERONICA LUZ NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3160 SUMMERWOOD ST, PAHRUMP, NV 89048-6515
(702) 772-8106
Mailing address
3160 SUMMERWOOD ST, PAHRUMP, NV 89048-6515
(702) 772-8106
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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