DIVINA GRACIA AVERILLA MD
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1467504175- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 8595 S DECATUR BLVD STE 108, LAS VEGAS, NV, 891397006
- Phone
- (702) 948-1130
- Fax
- (702) 688-8861
Specialties & Taxonomies
Family Medicine
Primary License: NV #7308