Individual
MS. JHOULEEN ANGELIKA TAM TIAMZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1294 S JONES BLVD, LAS VEGAS, NV 89146-7341
(702) 877-1887
(702) 877-4536
Mailing address
1294 S JONES BLVD, LAS VEGAS, NV 89146-7341
(702) 877-1887
(702) 877-4536
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN833202
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306451471
—
NV
Enumeration date
09/15/2020
Last updated
02/01/2024
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