Individual
KIAN IMPERIAL DAYRIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2839 BURNHAM AVE, LAS VEGAS, NV 89169-1793
(702) 799-5450
Mailing address
6331 BEAVERTAIL POND AVE, LAS VEGAS, NV 89122-7623
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
09/13/2024
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