Individual
ETHAN RAYMON HOARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 SHADOW LN, LAS VEGAS, NV 89106-4124
(702) 774-2545
Mailing address
1001 SHADOW LN, LAS VEGAS, NV 89106-4124
(702) 774-2545
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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