Individual
KANDALL CHEY DIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 E TROPICANA AVE STE 163, LAS VEGAS, NV 89119-6516
(702) 427-4746
Mailing address
3909 GULLIVER ST, LAS VEGAS, NV 89115-0379
(702) 427-4746
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/14/2021
Last updated
03/29/2022
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