Organization
IAN AMARANTO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN AMARANTO (QBA)
(702) 523-5804
Entity
Organization
Contact information
Practice address
4760 S PECOS RD STE 100-5, LAS VEGAS, NV 89121-6038
(702) 523-5804
(702) 855-3384
Mailing address
4760 S PECOS RD STE 100-5, LAS VEGAS, NV 89121-6038
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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