Individual
CARLOS A. CANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2755 E DESERT INN RD STE 260, LAS VEGAS, NV 89121-3690
(702) 823-8603
Mailing address
3908 AVONWOOD AVE, LAS VEGAS, NV 89121-4506
(702) 823-8603
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/04/2019
Last updated
12/09/2022
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