Individual
DR. MASHIKO JENNY TAVARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., MPH. R.S.T
Contact information
Practice address
1711 SONGLIGHT COURT, LAS VEGAS, NV 89117
(702) 450-1120
(702) 304-8255
Mailing address
45 SUNGLOW LANE, LAS VEGAS, NV 89135
(702) 355-7822
(702) 304-8255
Taxonomy
Speciality
Code
Description
License number
State
173F00000X
Sleep Specialist (PhD)
Primary
—
—
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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