MIGUEL ANTONACCIO

LAS VEGAS, NV
NPI1669897039
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2014-02-21
Last Update Date2014-02-21
Business Address
-- MIGUEL ANTONACCIO
5969 VIZZI CT
LAS VEGAS, NV 89131-2858
Phone number: 702-830-2481
Mailing Address
-- MIGUEL ANTONACCIO
6512 N DECATUR BLVD STE 130-114
LAS VEGAS, NV 89131-1046
Phone number: 702-830-2481
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