Individual
DON PABLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6900 N.PECOS RD, N.LAS VEGAS, NV 89086
(702) 791-9000
Mailing address
1904 LUNING DR, LAS VEGAS, NV 89106-1724
(702) 481-7260
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
CNA029555
NV
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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