Individual
LORIZA CHONGTAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
570 N.NELLIS BLVD SUITE D1, LAS VEGAS, NV 89110
(702) 759-1048
Mailing address
PO BOX 3902, LAS VEGAS, NV 89127-3902
(702) 759-1048
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN41367
NV
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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