NPI 1073067450

Thierry Diez

Practitioner Contractor Las Vegas, NV

Practice location

Address: 6032 Tersky CT, Las Vegas, NV 89122-3443
Phone: (702) 601-9381
Fax: (702) 287-2832

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 20161209961 (NV)

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Registry record

NPI: 1073067450
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Aug 2016
Record last updated: 15 Aug 2016

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.