Individual
MISS MARIA TERESA DEMAVIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
3100 W CHARLESTON BLVD, SUITE 202, LAS VEGAS, NV 89102-1900
(702) 877-9511
(702) 877-6711
Mailing address
3100 W CHARLESTON BLVD, SUITE 202, LAS VEGAS, NV 89102-1900
(702) 877-9511
(702) 877-6711
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN001170
NV
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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