Individual
CANH ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.P.
Contact information
Practice address
1408 S JONES BLVD, LAS VEGAS, NV 89146-1231
(702) 518-2424
Mailing address
3408 EL CORTEZ AVE, LAS VEGAS, NV 89102-3925
(702) 518-2424
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
174400000X
Specialist
Primary
—
—
246Z00000X
Other Specialist/Technologist
—
—
Other
Enumeration date
10/01/2016
Last updated
10/01/2016
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