Individual
SEAN GUILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSED OPTICIAN
Contact information
Practice address
4505 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1501
(702) 258-5060
Mailing address
4505 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1501
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
570
NV
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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