Individual
DOMINICK HURD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
QBA
Contact information
Practice address
4122 NEIGHBORLY CT, NORTH LAS VEGAS, NV 89032-6109
(702) 716-8005
Mailing address
4016 GRAY ASTER DR, LAS VEGAS, NV 89122-3550
(702) 716-8005
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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