Individual
MR. ENZO SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
916 W OWENS AVE, LAS VEGAS, NV 89106-2516
(702) 617-6313
Mailing address
916 W OWENS AVE, LAS VEGAS, NV 89106-2516
(702) 617-6313
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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