Individual
NIAMATULLAH ISMAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2880 N TENAYA WAY FL 2, LAS VEGAS, NV 89128-0618
(702) 962-9610
Mailing address
2880 N TENAYA WAY FL 2, LAS VEGAS, NV 89128-0618
(702) 962-9610
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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