person
Michael J Defazio
Driver in Las Vegas, Nevada
NPI 1609367465

Michael J Defazio is a Driver based in Las Vegas, NV. Michael J Defazio practices in Las Vegas, NV. The NPI Number for Michael J Defazio is 1609367465 and holds a License No. A1953895 (Nevada).

The current practice location address for Michael J Defazio is 6755 Shelter Ln, Las Vegas, NV and can be reached out via phone at 702-521-2350.

Location: 6755 Shelter Ln, Las Vegas, NV, 89103-4369
person
Provider Profile Details
NPI Number
1609367465
Provider Name
Michael J Defazio
Credential
Provider Entity Type
Individual
Gender
Male
Address
6755 Shelter Ln, Las Vegas, NV, 89103-4369
Phone Number
702-521-2350
Fax Number
Provider Enumeration Date
05/28/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6755 Shelter Ln
City
State
Zip
89103-4369
Phone Number
702-521-2350
Fax Number
person
Provider Business Mailing Address Details
Address
6755 Shelter Ln
City
State
Zip
89103-4369
Phone Number
702-521-2350
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
A1953895 (California)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
semi-verified symbol
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