Individual
MR. CONNOR LEE VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3831 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1859
(702) 876-1733
Mailing address
9599 W CHARLESTON BLVD APT 1170, LAS VEGAS, NV 89117-6670
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-1250
NV
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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