Individual
MARK JOSEPH D'ANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
11181 MEZZANA ST, LAS VEGAS, NV 89141-3402
(702) 682-2453
Mailing address
11181 MEZZANA ST, LAS VEGAS, NV 89141-3402
(702) 682-2453
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0506129
NV
Other
Enumeration date
09/21/2006
Last updated
08/02/2016
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