Individual
WANWALEE CHAROENCHOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4000 MEADOWS LN, LAS VEGAS, NV 89107-3108
(702) 259-4287
(702) 878-8445
Mailing address
5820 PROSPECTOR TRL, LAS VEGAS, NV 89118-2052
(702) 501-7613
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
593
NV
Other
Enumeration date
08/08/2008
Last updated
04/18/2016
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