Mauricio Gomez COTAIL

NPI 1659537025 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1659537025
Gender Male
Enumeration Date 08/05/2008
Last Updated 08/05/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
6021 W. CHEYENNE AVE.
LAS VEGAS NV, 89108, US
Phone (702) 396-1426
Fax (702) 657-9419
Business Location
8105 DIVERNON AVE.
LAS VEGAS NV, 89149, US
Phone (702) 338-6108
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State Nevada
License Number 1127
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According to our database, Mr. Mauricio Gomez COTAIL NPI is 1659537025, taxonomy code is 224Z00000X and license number is 1127, license state is located at Nevada. Mauricio Gomez COTAIL physically located at 6021 W. Cheyenne Ave., Las Vegas NV, 89108. NPI Number Mauricio Gomez COTAIL has the Individual type.

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1659537025 NPI number is provided on an as is basis without warranty of any kind. 1659537025 is maintained by the National Plan & Provider Enumeration System. The contents of Mauricio Gomez COTAIL are for informational purposes only.