NPI 1033547336

Class Promotional Services

Organisation Supports Brokerage Agency Las Vegas, NV

Practice location

Address: 141 Chateau Whistler CT, Las Vegas, NV 89148-2728
Phone: (760) 310-9099

Authorised official

Name: Dave Garrison
Title: Manager
Phone: (760) 310-9099

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X Licence 199618310024 (CA)

Other Supports Brokerage providers in Nevada →

Registry record

NPI: 1033547336
Entity type: Organization
NPI issued: 23 Oct 2013
Record last updated: 23 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.