Individual
TAMARA DIANE HENTHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
250 PILOT RD, LAS VEGAS, NV 89119-3542
(725) 239-8691
Mailing address
2308 NORWOOD DR, NORMAN, OK 73026-5003
(916) 585-1616
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
888917
NV
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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