Individual
DEANDRE COUNTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8430 W LAKE MEAD BLVD, LAS VEGAS, NV 89128-7672
(702) 488-8516
Mailing address
4801 E SAHARA AVE APT 200, LAS VEGAS, NV 89104-6323
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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