Individual
UMAR ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3186 S MARYLAND PKWY, LAS VEGAS, NV 89109-2306
(725) 270-0193
Mailing address
3186 S MARYLAND PKWY, LAS VEGAS, NV 89109-2317
(725) 270-0193
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/08/2019
Last updated
03/23/2024
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