Organization
PARADISE DREAMS ENTERPRISES, LLC.
Active
Other names
Smart Start Speech
Organization subpart
No
Provider details
NPI number
Authorized official
DARIA RYAN (OWNER)
(631) 903-7018
Entity
Organization
Contact information
Practice address
1350 KELSO DUNES AVE APT 1121, HENDERSON, NV 89014-7858
(631) 903-7018
Mailing address
1350 KELSO DUNES AVE APT 1121, HENDERSON, NV 89014-7858
(631) 903-7018
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912190273
—
CA
Enumeration date
06/26/2018
Last updated
06/26/2018
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