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Organization
ALFORQUE TAN LLC
Active
Organization
ALFORQUE TAN LLC
Active
Other names
iCarePsychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RHIGEL ALFORQUE TAN DNP APRN PMHNP (SOLE PROPRIETOR)
(702) 227-4165
Entity
Organization
Contact information
Practice address
6759 W CHARLESTON BLVD, SUITE 130, LAS VEGAS, NV 89146-2002
(702) 227-4165
(702) 227-7921
Mailing address
6759 W CHARLESTON BLVD, SUITE 130, LAS VEGAS, NV 89146-2002
(702) 227-4165
(702) 227-7921
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
APN0007124
NV
Other
Enumeration date
05/23/2014
Last updated
06/30/2016
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