Individual
MICHAEL DANIEL VIGIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
267 GRANT RIDGE DR, HENDERSON, NV 89012
(907) 903-7814
Mailing address
267 GRANT RIDGE DR, HENDERSON, NV 89012
(907) 903-7814
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
115277
AK
101Y00000X
Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020986
—
AK
Enumeration date
11/21/2014
Last updated
10/11/2024
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