MS. Diane Gustaw, QMHA
MS. Diane Gustaw, QMHA is a Rehabilitation Practitioner in Las Vegas, Nevada. Practices as a sole proprietor. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
8777 W Maule Avenue 2074Las Vegas, NV 89148-4894
Phone: (631) 839-2462
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1972892792 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | QMHA |
| Sole proprietor | Yes |
| NPI enumerated | April 1, 2011 |
| Last updated in NPPES | April 1, 2011 |
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