Individual
ANTHONY MUNOZ DORTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6559 AMERICAN BEAUTY AVE, LAS VEGAS, NV 89142-7905
(702) 858-6421
Mailing address
6559 AMERICAN BEAUTY AVE, LAS VEGAS, NV 89142-7905
(702) 858-6421
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1705328642
ID
NV
Enumeration date
04/07/2020
Last updated
04/07/2020
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