Individual
MARIA FERNANDA BALCAZAR-ESPINOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2887 S MARYLAND PKWY, LAS VEGAS, NV 89109-1511
(702) 474-4104
Mailing address
2887 S MARYLAND PKWY, LAS VEGAS, NV 89109-1511
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
07100-I
NV
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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