CARLOS JAVIER EZETA

LAS VEGAS, NV
NPI1194163980
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2013-06-13
Last Update Date2014-10-01
Business Address
-- CARLOS JAVIER EZETA M.S., ME.d.
6312 OBANNON DR
LAS VEGAS, NV 89146-3043
Phone number: 702-423-3838
Mailing Address
-- CARLOS JAVIER EZETA M.S., ME.d.
6312 OBANNON DR
LAS VEGAS, NV 89146-3043
Phone number: 702-423-3838