Individual
RICHARD DARYL ENRIQUEZ CHAPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4202 DIYA AVE, NORTH LAS VEGAS, NV 89084-4701
(415) 323-8247
Mailing address
4202 DIYA AVE, NORTH LAS VEGAS, NV 89084-4701
(415) 323-8247
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
CNA030128
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
N/A
—
Enumeration date
08/23/2021
Last updated
08/23/2021
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