Individual
THERESA COPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2321 MISTLE THRUSH DR, NORTH LAS VEGAS, NV 89084-2224
(702) 742-4134
Mailing address
2321 MISTLE THRUSH DR, NORTH LAS VEGAS, NV 89084-2224
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/19/2014
Last updated
01/19/2014
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