Individual
AMBIKA KANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
9634 ROLLING THUNDER AVE, LAS VEGAS, NV 89148-5722
(702) 227-9545
Mailing address
9634 ROLLING THUNDER AVE, LAS VEGAS, NV 89148-5722
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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