Individual
BETSY OMANDAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RT
Contact information
Practice address
4275 BURNHAM AVE STE 255, LAS VEGAS, NV 89119-8204
(702) 893-3333
(702) 893-0960
Mailing address
4275 BURNHAM AVE STE 255, LAS VEGAS, NV 89119-8204
(702) 893-3333
(702) 893-0960
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
RC1645
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001702161
—
NV
Enumeration date
04/01/2011
Last updated
04/01/2011
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