Individual
TIMOTHY TAEHYUN AHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
620 SHADOW LN, LAS VEGAS, NV 89106-4194
(702) 388-8436
Mailing address
620 SHADOW LN, LAS VEGAS, NV 89106-4194
(702) 388-8436
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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