Individual
THANAPATH THANTACHEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3100 N TENAYA WAY, LAS VEGAS, NV 89128-0442
(702) 962-5000
Mailing address
7335 ARROWROCK AVE, LAS VEGAS, NV 89179-1252
(702) 985-4381
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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