Individual
PAUL DANIEL VAUTRINOT I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3852 PALOS VERDES ST, LAS VEGAS, NV 89119-6909
(702) 485-1300
Mailing address
2917 BRADY AVE, LAS VEGAS, NV 89101-1652
(702) 485-1300
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/19/2017
Last updated
09/19/2017
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