Provider Demographics
NPI:1699212621
Name:DIAZ SALGUEIRO, OSLAIDA (BASIC SKILLS)
Entity Type:Individual
Prefix:
First Name:OSLAIDA
Middle Name:
Last Name:DIAZ SALGUEIRO
Suffix:
Gender:F
Credentials:BASIC SKILLS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5419 W TROPICANA AVE
Mailing Address - Street 2:1004
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-5060
Mailing Address - Country:US
Mailing Address - Phone:702-937-6924
Mailing Address - Fax:
Practice Address - Street 1:5419 W TROPICANA AVE
Practice Address - Street 2:1004
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-5060
Practice Address - Country:US
Practice Address - Phone:702-937-6924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-29
Last Update Date:2017-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician