D'Anza, Mark Joseph

D'Anza, Mark Joseph is an individual health care provider with primary practice located at 11181 Mezzana St , Las Vegas NV 89141-3402. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. D'Anza, Mark Joseph can be contacted via phone (702) 682-2453.

Contact Information

Primary practice address
11181 Mezzana St Las Vegas NV 89141-3402
Phone: (702) 682-2453
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 0506129 Nevada

Profile Details

NPI number 1750480588
LBN Legal business name D'Anza, Mark Joseph
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Aug 2nd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers